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NPI Code Detail

MEDICARE: BEAUTIFUL LIFE INC.

MEDICARE: BEAUTIFUL LIFE 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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1164037008
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUTIFUL LIFE INC.
Provider Business Mailing Address
First Line : 1380 E SILVERADO RANCH BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-5924
Country : US
Telephone Number : 702-453-8878
Fax Number : 702-453-8878
Provider Business Practice Location Address
First Line : 1380 E SILVERADO RANCH BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-5924
Country : US
Telephone Number : 702-453-8878
Fax Number : 702-491-1265
Authorized Official
Title or Position : DIRECTOR
Name : CONNIE L. HARRIS
Credential :
Telephone Number : 702-491-1265
Provider Enumeration Date : 09/08/2020
Last Update Date : 10/04/2021

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Directions to “BEAUTIFUL LIFE INC. ” Practice Location

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