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NPI Code Detail

MEDICARE: MEADOWS HEALTH AND WELLNESS LLC

MEDICARE: MEADOWS HEALTH AND WELLNESS 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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1932978731
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEADOWS HEALTH AND WELLNESS LLC
Provider Business Mailing Address
First Line : 5604 HARMONY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5604 HARMONY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2625
Country : US
Telephone Number : 702-910-0300
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ELIZABETH ACOSTA
Credential :
Telephone Number : 702-910-0300
Provider Enumeration Date : 12/21/2023
Last Update Date : 12/21/2023

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Directions to “MEADOWS HEALTH AND WELLNESS LLC ” Practice Location

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