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NPI Code Detail

MEDICARE: SCSC ENTERPRISES, INC.

MEDICARE: SCSC ENTERPRISES, INC.
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 Agency

General Provider Information

NPI Number : 1770725616
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCSC ENTERPRISES, INC.
Provider Business Mailing Address
First Line : 3455 W CRAIG RD STE A
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5119
Country : US
Telephone Number : 702-823-5152
Fax Number : 877-320-4349
Provider Business Practice Location Address
First Line : 3455 W CRAIG RD STE A
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5119
Country : US
Telephone Number : 702-823-5152
Fax Number : 877-320-4349
Authorized Official
Title or Position : CFO
Name : MR. SCOTTIE D. STRONG
Credential :
Telephone Number : 702-823-5152
Provider Enumeration Date : 03/24/2009
Last Update Date : 03/24/2009

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Directions to “SCSC ENTERPRISES, INC. ” Practice Location

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