MEDICARE: OUT OF THE BOX SOLUTIONS NEVADA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
4	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1366125452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUT OF THE BOX SOLUTIONS NEVADA

Provider Business Mailing Address
First Line	:	2851 ELK CANYON CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2983
Country	:	US
Telephone Number	:	503-412-8845
Fax Number	:

Provider Business Practice Location Address
First Line	:	2851 ELK CANYON CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2983
Country	:	US
Telephone Number	:	503-412-8845
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. LIBERTY WECKER
Credential	:
Telephone Number	:	702-997-6954

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/08/2023

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Directions to “OUT OF THE BOX SOLUTIONS NEVADA ” Practice Location

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