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NPI Code Detail

MEDICARE: US NATIONAL PERSONAL CARE

MEDICARE: US NATIONAL PERSONAL CARE
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
1305S00000XPoint of Service1007222930NV

General Provider Information

NPI Number : 1447496823
Entity Type Code : Organization
Provider Name (Legal Business Name) : US NATIONAL PERSONAL CARE
Provider Business Mailing Address
First Line : 2881 S VALLEY VIEW BLVD
Second Line : STE 14
City : LAS VEGAS
State : NV
Zip : 89102-0100
Country : US
Telephone Number : 702-253-1031
Fax Number : 702-253-9474
Provider Business Practice Location Address
First Line : 2881 S VALLEY VIEW BLVD
Second Line : STE 14
City : LAS VEGAS
State : NV
Zip : 89102-0100
Country : US
Telephone Number : 702-253-1031
Fax Number : 702-253-9474
Authorized Official
Title or Position : MEMBER
Name : MS. HEATHER MARIE THOMESEN
Credential :
Telephone Number : 702-339-7284
Provider Enumeration Date : 01/06/2009
Last Update Date : 01/06/2009

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Directions to “US NATIONAL PERSONAL CARE ” Practice Location

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