MEDICARE: CENTER FOR DIGNIFIED CARE

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1295107266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR DIGNIFIED CARE

Provider Business Mailing Address
First Line	:	3170 W SAHARA AVE
Second Line	:	SUITE D23
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-6004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3170 W SAHARA AVE
Second Line	:	SUITE D23
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-6004
Country	:	US
Telephone Number	:	702-821-6134
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RUEL FE
Credential	:
Telephone Number	:	702-489-1575

Provider Enumeration Date	:	10/29/2015
Last Update Date	:	10/29/2015

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Directions to “CENTER FOR DIGNIFIED CARE ” Practice Location

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