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NPI Code Detail

MEDICARE: P. C. S. PROFESSIONALS, LLC

MEDICARE: P. C. S. PROFESSIONALS, LLC
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
13747P1801XPersonal Care AttendantNVS6269PCSNV

General Provider Information

NPI Number : 1073807780
Entity Type Code : Organization
Provider Name (Legal Business Name) : P. C. S. PROFESSIONALS, LLC
Provider Business Mailing Address
First Line : 4326 W CHEYENNE AVE
Second Line : SUITE # 107
City : NORTH LAS VEGAS
State : NV
Zip : 89032-2484
Country : US
Telephone Number : 702-636-4700
Fax Number : 888-317-2713
Provider Business Practice Location Address
First Line : 4326 W CHEYENNE AVE
Second Line : SUITE # 107
City : NORTH LAS VEGAS
State : NV
Zip : 89032-2484
Country : US
Telephone Number : 702-636-4700
Fax Number : 888-317-2713
Authorized Official
Title or Position : MANAGING MEMBER
Name : MRS. LORETTA LYNN COVELLI
Credential : BA, PCA
Telephone Number : 702-636-4700
Provider Enumeration Date : 05/31/2011
Last Update Date : 05/31/2011

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