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NPI Code Detail

MEDICARE: CARING CLOSELY PROVIDERS

MEDICARE: CARING CLOSELY PROVIDERS
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
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1265935050
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARING CLOSELY PROVIDERS
Provider Business Mailing Address
First Line : 2881 S SANDHILL RD APT 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-1741
Country : US
Telephone Number : 702-890-7733
Fax Number :
Provider Business Practice Location Address
First Line : 2881 S SANDHILL RD APT 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-1741
Country : US
Telephone Number : 702-890-7733
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGER
Name : MS. RONIKA MONAE MARTIN
Credential :
Telephone Number : 702-890-7733
Provider Enumeration Date : 03/17/2018
Last Update Date : 03/17/2018

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Directions to “CARING CLOSELY PROVIDERS ” Practice Location

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