MEDICARE: R&R RESIDENTIAL 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1598170920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R&R RESIDENTIAL SERVICES LLC

Provider Business Mailing Address
First Line	:	5175 CAMINO AL NORTE
Second Line	:	STE. 100
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2408
Country	:	US
Telephone Number	:	702-636-9357
Fax Number	:	702-868-8357

Provider Business Practice Location Address
First Line	:	5175 CAMINO AL NORTE
Second Line	:	STE. 100
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2408
Country	:	US
Telephone Number	:	702-636-9357
Fax Number	:	702-868-8357

Authorized Official
Title or Position	:	OWNER
Name	:	MS. KULINDA ROLLINS
Credential	:
Telephone Number	:	702-636-9357

Provider Enumeration Date	:	06/24/2014
Last Update Date	:	06/24/2014

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Directions to “R&R RESIDENTIAL SERVICES LLC ” Practice Location

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