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NPI Code Detail

MEDICARE: REST ASURE HOMECARE LLC

MEDICARE: REST ASURE HOMECARE 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1124644570
Entity Type Code : Organization
Provider Name (Legal Business Name) : REST ASURE HOMECARE LLC
Provider Business Mailing Address
First Line : 2215 TRIUMPH HILLS DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-4800
Country : US
Telephone Number : 702-771-5569
Fax Number :
Provider Business Practice Location Address
First Line : 2215 TRIUMPH HILLS DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-4800
Country : US
Telephone Number : 702-771-5569
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TAMMY CLAYTON
Credential :
Telephone Number : 702-771-5569
Provider Enumeration Date : 06/22/2020
Last Update Date : 06/22/2020

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Directions to “REST ASURE HOMECARE LLC ” Practice Location

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