Healthcare Provider Details
I. General information
NPI: 1700435062
Provider Name (Legal Business Name): PERFECT TRANSITIONS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2019
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9301 VERLAINE CT
LAS VEGAS NV
89145-8688
US
IV. Provider business mailing address
9301 VERLAINE CT
LAS VEGAS NV
89145-8688
US
V. Phone/Fax
- Phone: 702-381-0159
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 177F00000X |
| Taxonomy | Lodging Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HASSANALI
SEWANI
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 702-785-8943