Healthcare Provider Details

I. General information

NPI: 1396288205
Provider Name (Legal Business Name): D'S SENIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2016
Last Update Date: 01/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 ROYAL PLUM LN
LAS VEGAS NV
89144-1428
US

IV. Provider business mailing address

908 ROYAL PLUM LN
LAS VEGAS NV
89144-1428
US

V. Phone/Fax

Practice location:
  • Phone: 702-328-8939
  • Fax:
Mailing address:
  • Phone: 702-328-8939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License NumberNV20131604557
License Number StateNV

VIII. Authorized Official

Name: MS. DEBORAH LOUISE GAEDING
Title or Position: SOLE PROPRIETOR
Credential:
Phone: 702-328-8939