Provider Demographics
NPI:1205231123
Name:READY, SET, GROW LLC
Entity Type:Organization
Organization Name:READY, SET, GROW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERCHICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-300-5068
Mailing Address - Street 1:8156 LONE BOULDER ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-4659
Mailing Address - Country:US
Mailing Address - Phone:702-300-5068
Mailing Address - Fax:702-476-9991
Practice Address - Street 1:8156 LONE BOULDER ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-4659
Practice Address - Country:US
Practice Address - Phone:702-300-5068
Practice Address - Fax:702-476-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20141568634251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare