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NPI Code Detail

MEDICARE: GERIHEALTH LLC

MEDICARE: GERIHEALTH 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1457879165
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERIHEALTH LLC
Provider Business Mailing Address
First Line : 6077 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5580
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 839 LANDON DR
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86429-7674
Country : US
Telephone Number : 253-241-4992
Fax Number : 253-265-2331
Authorized Official
Title or Position : AGENT
Name : MELISSA BLUE
Credential :
Telephone Number : 702-400-4399
Provider Enumeration Date : 09/01/2017
Last Update Date : 09/01/2017

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Directions to “GERIHEALTH LLC ” Practice Location

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