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General NPI Number Information
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NPI Number | 1184607632
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Entity Type | Organization
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Legal Business Name | PREFERRED CARE WEST II INC
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 01/14/2013
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Provider Practice Location Address
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Address Line | 2860 E CHEYENNE AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-4234
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Country | US
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Telephone | 702-644-7777
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Fax | 702-644-5909
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Provider Business Mailing Address
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Address Line | 5420 W PLANO PKWY
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City | PLANO
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State | TX
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Zip | 75093-4823
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Country | US
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Telephone | 972-931-3800
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Fax | 972-767-6222
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | MRS. JAMIE LATTURE COLLIER
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Credential |
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Telephone | 972-931-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 691ICF-19
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License Number State | NV
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