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NPI Code Detail

MEDICARE: ALLIANT HEALTHCARE SERVICES, LLC

MEDICARE: ALLIANT HEALTHCARE SERVICES, 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
1251E00000XHome Health Agency2000048-319NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12000048319OTHERNVCLARK COUNTY BUSINESS LIC

General Provider Information

NPI Number : 1174724173
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANT HEALTHCARE SERVICES, LLC
Provider Business Mailing Address
First Line : 1050 E FLAMINGO RD STE W253
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7427
Country : US
Telephone Number : 702-733-1599
Fax Number : 702-733-9190
Provider Business Practice Location Address
First Line : 1050 E FLAMINGO RD STE W253
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7427
Country : US
Telephone Number : 702-733-1599
Fax Number : 702-733-9190
Authorized Official
Title or Position : OWNER
Name : JOE MALLINGER
Credential :
Telephone Number : 702-733-1599
Provider Enumeration Date : 05/29/2007
Last Update Date : 08/22/2020

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Directions to “ALLIANT HEALTHCARE SERVICES, LLC ” Practice Location

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