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NPI Code Detail

MEDICARE: NEVADA SENIOR SERVICES INC

MEDICARE: NEVADA SENIOR SERVICES 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
1385H00000XRespite Care33ADC17NV

Other Identifiers

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

General Provider Information

NPI Number : 1912169251
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA SENIOR SERVICES INC
Provider Business Mailing Address
First Line : 901 N JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-1603
Country : US
Telephone Number : 702-648-3425
Fax Number : 702-648-1408
Provider Business Practice Location Address
First Line : 901 N JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-1603
Country : US
Telephone Number : 702-648-3425
Fax Number : 702-648-1408
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JEFFREY BRUCE KLEIN
Credential : FACHE
Telephone Number : 702-648-3425
Provider Enumeration Date : 06/27/2008
Last Update Date : 06/27/2008

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Directions to “NEVADA SENIOR SERVICES INC ” Practice Location

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