Healthcare Provider Details

I. General information

NPI: 1326237926
Provider Name (Legal Business Name): ACCESSIBLE HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 10/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 N JONES BLVD
LAS VEGAS NV
89107-1461
US

IV. Provider business mailing address

704 N JONES BLVD
LAS VEGAS NV
89107-1461
US

V. Phone/Fax

Practice location:
  • Phone: 702-228-7234
  • Fax: 702-320-0366
Mailing address:
  • Phone: 702-228-7234
  • Fax: 702-320-0366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. BEDRI ABDULLAHI
Title or Position: PRESIDENT
Credential:
Phone: 702-228-7234