Provider Demographics
NPI:1811577794
Name:DOSE INTEGRATED HEALTHCARE, LLC
Entity Type:Organization
Organization Name:DOSE INTEGRATED HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-997-4455
Mailing Address - Street 1:5580 W FLAMINGO RD STE 107
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-0165
Mailing Address - Country:US
Mailing Address - Phone:702-997-4455
Mailing Address - Fax:
Practice Address - Street 1:5580 W FLAMINGO RD STE 107
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-0165
Practice Address - Country:US
Practice Address - Phone:702-997-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health