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NPI Code Detail

MEDICARE: HEALTH & CARE PROFESSIONAL NETWORK

MEDICARE: HEALTH & CARE PROFESSIONAL NETWORK
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
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1457907719
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH & CARE PROFESSIONAL NETWORK
Provider Business Mailing Address
First Line : 4850 W FLAMINGO RD STE 25
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3707
Country : US
Telephone Number : 702-871-9917
Fax Number :
Provider Business Practice Location Address
First Line : 2223 S RAINBOW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-2979
Country : US
Telephone Number : 702-871-9917
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOSE ROMMEL VIRAY
Credential :
Telephone Number : 702-871-9917
Provider Enumeration Date : 08/13/2019
Last Update Date : 08/13/2019

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Directions to “HEALTH & CARE PROFESSIONAL NETWORK ” Practice Location

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