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NPI Code Detail

MEDICARE: N & L HOME CARE FACILITIES LLC

MEDICARE: N & L HOME CARE FACILITIES 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
1311ZA0620XAdult Care Home Facility20131382567NV

General Provider Information

NPI Number : 1407288855
Entity Type Code : Organization
Provider Name (Legal Business Name) : N & L HOME CARE FACILITIES LLC
Provider Business Mailing Address
First Line : 5513 FLORA SPRAY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1697
Country : US
Telephone Number : 702-658-7744
Fax Number : 702-684-6895
Provider Business Practice Location Address
First Line : 5513 FLORA SPRAY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1697
Country : US
Telephone Number : 702-658-7744
Fax Number : 702-684-6895
Authorized Official
Title or Position : OWNER
Name : LISSETTE N. DUNN
Credential :
Telephone Number : 702-285-9250
Provider Enumeration Date : 08/07/2013
Last Update Date : 08/07/2013

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Directions to “N & L HOME CARE FACILITIES LLC ” Practice Location

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