Provider Demographics
NPI:1366125452
Name:OUT OF THE BOX SOLUTIONS NEVADA
Entity type:Organization
Organization Name:OUT OF THE BOX SOLUTIONS NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIBERTY
Authorized Official - Middle Name:
Authorized Official - Last Name:WECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-997-6954
Mailing Address - Street 1:2851 ELK CANYON CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2983
Mailing Address - Country:US
Mailing Address - Phone:503-412-8845
Mailing Address - Fax:
Practice Address - Street 1:2851 ELK CANYON CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2983
Practice Address - Country:US
Practice Address - Phone:503-412-8845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child