Provider Demographics
NPI:1700350394
Name:STATE OF NV AGING AND DISABILITY SERVICES DIVISION - ATAP
Entity Type:Organization
Organization Name:STATE OF NV AGING AND DISABILITY SERVICES DIVISION - ATAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL SERVICES PROGRAM SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-687-9776
Mailing Address - Street 1:3416 GONI RD # D-132
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-8008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3416 GONI RD # D-132
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-8008
Practice Address - Country:US
Practice Address - Phone:775-687-0117
Practice Address - Fax:775-687-0119
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STATE OF NEVADA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management