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NPI Code Detail

MEDICARE: BEAUTIFUL LIFE

MEDICARE: BEAUTIFUL LIFE
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
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1326607508
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUTIFUL LIFE
Provider Business Mailing Address
First Line : 1380 E SILVERADO RANCH BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-5924
Country : US
Telephone Number : 702-491-1265
Fax Number : 702-453-8874
Provider Business Practice Location Address
First Line : 1380 E SILVERADO RANCH BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-5924
Country : US
Telephone Number : 702-491-1265
Fax Number : 702-453-8874
Authorized Official
Title or Position : MANAGER
Name : MS. CONNIE LINNETTE HARRIS
Credential :
Telephone Number : 702-491-1265
Provider Enumeration Date : 06/11/2019
Last Update Date : 09/21/2021

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Directions to “BEAUTIFUL LIFE ” Practice Location

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