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NPI Code Detail

MEDICARE: C & C HEALTH CARE SERVICES LLC

MEDICARE: C & C HEALTH CARE SERVICES 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
1251B00000XCase Management Agency
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1528602737
Entity Type Code : Organization
Provider Name (Legal Business Name) : C & C HEALTH CARE SERVICES LLC
Provider Business Mailing Address
First Line : 1500 E TROPICANA AVE STE 118
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6516
Country : US
Telephone Number : 775-682-0020
Fax Number : 702-995-6509
Provider Business Practice Location Address
First Line : 1500 E TROPICANA AVE STE 118
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6516
Country : US
Telephone Number : 775-682-0020
Fax Number : 702-995-6509
Authorized Official
Title or Position : MANAGER
Name : CINDY JONES
Credential :
Telephone Number : 775-682-0020
Provider Enumeration Date : 10/30/2019
Last Update Date : 08/19/2023

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Directions to “C & C HEALTH CARE SERVICES LLC ” Practice Location

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