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General NPI Number Information
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NPI Number | 1538974282
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Entity Type | Organization
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Legal Business Name | HEALTH LIFE LLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 5220 RANCHER AVE
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City | LAS VEGAS
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State | NV
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Zip | 89108-4028
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Country | US
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Telephone | 702-515-1393
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Fax | 702-515-1345
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Provider Business Mailing Address
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Address Line | 5220 RANCHER AVE
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City | LAS VEGAS
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State | NV
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Zip | 89108-4028
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Country | US
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Telephone | 702-515-1393
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Fax | 702-515-1345
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Authorized Official
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Title or Position | OWNER/CAREGIVER
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Name | LETICIA SUBLATEN
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Credential |
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Telephone | 702-883-0461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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