Healthcare Provider Details

I. General information

NPI: 1639485147
Provider Name (Legal Business Name): SENIOR LIFE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 10/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 E TROPICANA AVE
LAS VEGAS NV
89119-4225
US

IV. Provider business mailing address

330 E TROPICANA AVE
LAS VEGAS NV
89119-4225
US

V. Phone/Fax

Practice location:
  • Phone: 702-646-3805
  • Fax: 702-646-3807
Mailing address:
  • Phone: 702-646-3805
  • Fax: 702-646-3807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: CHATTY FERNANDEZ BECKER
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 702-646-3805