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NPI Code Detail

MEDICARE: PARADISE HEALTHCARE SERVICES, INC.

MEDICARE: PARADISE HEALTHCARE SERVICES, INC.
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1093969636
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARADISE HEALTHCARE SERVICES, INC.
Provider Business Mailing Address
First Line : 3175 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3308
Country : US
Telephone Number : 702-320-5222
Fax Number : 702-320-0366
Provider Business Practice Location Address
First Line : 3175 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3308
Country : US
Telephone Number : 702-320-5222
Fax Number : 702-320-0366
Authorized Official
Title or Position : PRESIDENT
Name : BEDRI ABDULLAHI
Credential :
Telephone Number : 702-320-5222
Provider Enumeration Date : 11/10/2008
Last Update Date : 12/18/2018

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Directions to “PARADISE HEALTHCARE SERVICES, INC. ” Practice Location

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