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NPI Code Detail

MEDICARE: MICHAEL SHANE HILL

MEDICARE:   MICHAEL SHANE HILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider
2376J00000XHomemaker
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1043868318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SHANE HILL
Provider Business Mailing Address
First Line : 8145 CRUSHED VELVET PL
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-3794
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8145 CRUSHED VELVET PL
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-3794
Country : US
Telephone Number : 702-240-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 08/29/2019

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Directions to “ MICHAEL SHANE HILL ” Practice Location

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