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NPI Code Detail

MEDICARE: HELP OF SOUTHERN NEVADA

MEDICARE: HELP OF SOUTHERN NEVADA
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
1251B00000XCase Management Agency
23245S0500XChildren's Substance Abuse Rehabilitation Facility
3324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1437594074
Entity Type Code : Organization
Provider Name (Legal Business Name) : HELP OF SOUTHERN NEVADA
Provider Business Mailing Address
First Line : 1640 E FLAMINGO RD
Second Line : #100
City : LAS VEGAS
State : NV
Zip : 89119-5249
Country : US
Telephone Number : 702-369-4357
Fax Number : 702-369-4089
Provider Business Practice Location Address
First Line : 314 FOREMASTER LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-1008
Country : US
Telephone Number : 702-385-3776
Fax Number : 702-836-2154
Authorized Official
Title or Position : PRESIDENT/CHIEF EXECUTIVE OFFICER
Name : TERRIE D'ANTONIO
Credential :
Telephone Number : 702-369-4357
Provider Enumeration Date : 05/09/2013
Last Update Date : 09/11/2014

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Directions to “HELP OF SOUTHERN NEVADA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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