MEDICARE: ALL COMPUTER NEEDS CORP

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	251F00000X	Home Infusion Agency
2	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1770340978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL COMPUTER NEEDS CORP

Provider Business Mailing Address
First Line	:	5112 WATER COCONUT ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-0975
Country	:	US
Telephone Number	:	855-448-7911
Fax Number	:

Provider Business Practice Location Address
First Line	:	5112 WATER COCONUT ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-0975
Country	:	US
Telephone Number	:	855-448-7911
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANDRICK D WESLEY
Credential	:
Telephone Number	:	702-810-3762

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	04/11/2024

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Directions to “ALL COMPUTER NEEDS CORP ” Practice Location

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