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NPI Code Detail

MEDICARE: DKS SERVICES

MEDICARE: DKS SERVICES
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 Agency5076HHA-5NV

General Provider Information

NPI Number : 1750685061
Entity Type Code : Organization
Provider Name (Legal Business Name) : DKS SERVICES
Provider Business Mailing Address
First Line : 6280 S VALLEY VIEW BLVD
Second Line : SUITE #522
City : LAS VEGAS
State : NV
Zip : 89118-3809
Country : US
Telephone Number : 702-823-1511
Fax Number : 702-823-1512
Provider Business Practice Location Address
First Line : 6280 S VALLEY VIEW BLVD
Second Line : SUITE #522
City : LAS VEGAS
State : NV
Zip : 89118-3809
Country : US
Telephone Number : 702-823-1511
Fax Number : 702-823-1512
Authorized Official
Title or Position : PRESIDENT/ADMINISTRATOR
Name : MR. ROLAND KENT DUPRE'
Credential :
Telephone Number : 702-823-1511
Provider Enumeration Date : 12/29/2010
Last Update Date : 12/29/2010

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Directions to “DKS SERVICES ” Practice Location

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