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NPI Code Detail

MEDICARE: ADL HOME CARE

MEDICARE: ADL HOME 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
13747P1801XPersonal Care Attendant19497NV

General Provider Information

NPI Number : 1750489209
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADL HOME CARE
Provider Business Mailing Address
First Line : 5028 ALTA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3927
Country : US
Telephone Number : 702-933-9770
Fax Number : 702-933-9773
Provider Business Practice Location Address
First Line : 5028 ALTA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-3927
Country : US
Telephone Number : 702-933-9770
Fax Number : 702-933-9773
Authorized Official
Title or Position : MANAGER
Name : FRANK PERRI
Credential :
Telephone Number : 702-933-9770
Provider Enumeration Date : 09/20/2006
Last Update Date : 12/03/2007

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Directions to “ADL HOME CARE ” Practice Location

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