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NPI Code Detail

MEDICARE: SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV, LLC

MEDICARE: SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV, LLC
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 : 1780101378
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV, LLC
Provider Business Mailing Address
First Line : 250 PILOT RD STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3514
Country : US
Telephone Number : 702-982-3292
Fax Number : 702-982-5286
Provider Business Practice Location Address
First Line : 250 PILOT RD STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3514
Country : US
Telephone Number : 702-982-3292
Fax Number : 702-982-5286
Authorized Official
Title or Position : REGIONAL DIRECTOR OF COMPLIANCE
Name : INDIRA MAHABIR
Credential : RN
Telephone Number : 954-260-3282
Provider Enumeration Date : 08/24/2017
Last Update Date : 04/17/2024

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Directions to “SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV, LLC ” Practice Location

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