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General NPI Number Information
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NPI Number | 1992503668
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Entity Type | Organization
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Legal Business Name | SERENITY SANDS HOSPICE, LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 6070 W POST RD
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City | LAS VEGAS
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State | NV
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Zip | 89118-3419
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Country | US
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Telephone | 702-723-6700
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Fax | 702-723-6800
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Provider Business Mailing Address
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Address Line | 775 W 1200 N STE 100
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City | SPRINGVILLE
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State | UT
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Zip | 84663-3070
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Country | US
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Telephone | 702-723-6700
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. HEATHER ROWLEY
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Credential | LNFA
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Telephone | 702-723-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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