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NPI Code Detail

MEDICARE: SENIOR LIFE ADVOCACY GROUP LLC

MEDICARE: SENIOR LIFE ADVOCACY GROUP 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
1253Z00000XIn Home Supportive Care Agency7761PCS-0NV

General Provider Information

NPI Number : 1598162489
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR LIFE ADVOCACY GROUP LLC
Provider Business Mailing Address
First Line : 1064 E SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3220
Country : US
Telephone Number : 702-767-2881
Fax Number : 702-750-2209
Provider Business Practice Location Address
First Line : 1064 E SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3220
Country : US
Telephone Number : 702-767-2881
Fax Number : 702-750-2209
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. FLORA G. SIWA
Credential :
Telephone Number : 702-767-2881
Provider Enumeration Date : 11/21/2014
Last Update Date : 11/21/2014

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