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NPI Code Detail

MEDICARE: COPES COMFORT CARE

MEDICARE: COPES COMFORT CARE
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
1320800000XMental Illness Community Based Residential Treatment 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 : 1730333808
Entity Type Code : Organization
Provider Name (Legal Business Name) : COPES COMFORT CARE
Provider Business Mailing Address
First Line : 2447 SAGAMORE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89152-0001
Country : US
Telephone Number : 702-302-5026
Fax Number :
Provider Business Practice Location Address
First Line : 6196 GLIMMERING LIGHT AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-6872
Country : US
Telephone Number : 702-302-5026
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : STEPHANIE ROSS
Credential :
Telephone Number : 702-302-5026
Provider Enumeration Date : 11/15/2008
Last Update Date : 11/15/2008

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Directions to “COPES COMFORT CARE ” Practice Location

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