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NPI Code Detail

MEDICARE: SPRING VALLEY HEALTH CARE, LLC

MEDICARE: SPRING VALLEY HEALTH CARE, 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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528449998
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING VALLEY HEALTH CARE, LLC
Provider Business Mailing Address
First Line : 5351 MONTESSOURI ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-1126
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5351 MONTESSOURI ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-1126
Country : US
Telephone Number : 702-278-4477
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SIEGLINDE DONOHUE
Credential :
Telephone Number : 702-286-5403
Provider Enumeration Date : 06/11/2015
Last Update Date : 10/05/2016

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Directions to “SPRING VALLEY HEALTH CARE, LLC ” Practice Location

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