MEDICARE: LERSKI INC

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1508569997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LERSKI INC

Provider Business Mailing Address
First Line	:	7565 HARTWELL DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-0516
Country	:	US
Telephone Number	:	702-577-5593
Fax Number	:	702-829-8124

Provider Business Practice Location Address
First Line	:	7565 HARTWELL DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-0516
Country	:	US
Telephone Number	:	702-577-5593
Fax Number	:	702-829-8124

Authorized Official
Title or Position	:	OWNER
Name	:	MARGIE ANTONIO
Credential	:
Telephone Number	:	702-577-5593

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	03/24/2023

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Directions to “LERSKI INC ” Practice Location

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