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NPI Code Detail

MEDICARE: HEALTHCARE PLUS LLC

MEDICARE: HEALTHCARE PLUS 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
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1144841644
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE PLUS LLC
Provider Business Mailing Address
First Line : 4723 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4742
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4723 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4742
Country : US
Telephone Number : 702-448-3332
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : COSMAS EZE
Credential :
Telephone Number : 702-902-5400
Provider Enumeration Date : 05/06/2020
Last Update Date : 05/06/2020

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Directions to “HEALTHCARE PLUS LLC ” Practice Location

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