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NPI Code Detail

MEDICARE: CEL VENTURES, LLC

MEDICARE: CEL VENTURES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1083762280
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEL VENTURES, LLC
Provider Business Mailing Address
First Line : 2450 CHANDLER AVE
Second Line : SUITE 14
City : LAS VEGAS
State : NV
Zip : 89120-4070
Country : US
Telephone Number : 702-436-2273
Fax Number : 702-436-6853
Provider Business Practice Location Address
First Line : 2950 E FLAMINGO RD STE J
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5208
Country : US
Telephone Number : 702-436-2273
Fax Number : 702-436-6853
Authorized Official
Title or Position : MANAGING PARTNER
Name : MR. CHRISTOPHER BALLESTEROS
Credential :
Telephone Number : 702-436-2273
Provider Enumeration Date : 01/06/2007
Last Update Date : 08/23/2022

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Directions to “CEL VENTURES, LLC ” Practice Location

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