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NPI Code Detail

MEDICARE: COMPREHENSIVE HEALTH CARE LLC

MEDICARE: COMPREHENSIVE 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
1251E00000XHome Health Agency6181HHA-0NV

General Provider Information

NPI Number : 1568726867
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE HEALTH CARE LLC
Provider Business Mailing Address
First Line : 3750 S JONES BLVD STE 160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2209
Country : US
Telephone Number : 702-778-8365
Fax Number : 702-778-3368
Provider Business Practice Location Address
First Line : 3750 S JONES BLVD STE 160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2209
Country : US
Telephone Number : 702-778-8365
Fax Number : 702-778-3368
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. ELIZABETH AVILA OTTE
Credential :
Telephone Number : 702-778-8365
Provider Enumeration Date : 07/02/2012
Last Update Date : 04/12/2022

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Directions to “COMPREHENSIVE HEALTH CARE LLC ” Practice Location

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