MEDICARE: L&MENTS, 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	253Z00000X	In Home Supportive Care Agency	7749PCS	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659781169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L&MENTS, INC.

Provider Business Mailing Address
First Line	:	7477 W LAKE MEAD BLVD
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1028
Country	:	US
Telephone Number	:	702-997-9477
Fax Number	:

Provider Business Practice Location Address
First Line	:	7477 W LAKE MEAD BLVD
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-1028
Country	:	US
Telephone Number	:	702-997-9477
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	LISA DAWN WENSLEY
Credential	:	CSA
Telephone Number	:	702-997-9477

Provider Enumeration Date	:	05/06/2014
Last Update Date	:	05/06/2014

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Directions to “L&MENTS, INC. ” Practice Location

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