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NPI Code Detail

MEDICARE: PRECIOUS CARE SERVICE LLC

MEDICARE: PRECIOUS CARE SERVICE 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
1253Z00000XIn Home Supportive Care Agency5548PCS-11NV

General Provider Information

NPI Number : 1154784924
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRECIOUS CARE SERVICE LLC
Provider Business Mailing Address
First Line : 3650 S EASTERN AVE
Second Line : SUITE 330B
City : LAS VEGAS
State : NV
Zip : 89169-3379
Country : US
Telephone Number : 702-569-9616
Fax Number : 775-727-2085
Provider Business Practice Location Address
First Line : 3650 S EASTERN AVE
Second Line : SUITE 330B
City : LAS VEGAS
State : NV
Zip : 89169-3379
Country : US
Telephone Number : 702-569-9616
Fax Number : 775-727-2085
Authorized Official
Title or Position : OWNER
Name : MRS. ELSIE DALOPE
Credential :
Telephone Number : 702-569-9616
Provider Enumeration Date : 03/30/2016
Last Update Date : 03/30/2016

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Directions to “PRECIOUS CARE SERVICE LLC ” Practice Location

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