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NPI Code Detail

MEDICARE: ACRE HEALTH SERVICES, LLC.

MEDICARE: ACRE HEALTH SERVICES, 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 Agency201310810220CA

General Provider Information

NPI Number : 1952724874
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACRE HEALTH SERVICES, LLC.
Provider Business Mailing Address
First Line : 7455 ARROYO CROSSING PKWY STE 220
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4088
Country : US
Telephone Number : 702-761-6503
Fax Number : 702-761-6504
Provider Business Practice Location Address
First Line : 7455 ARROYO CROSSING PKWY STE 220
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4088
Country : US
Telephone Number : 702-761-6503
Fax Number : 702-761-6504
Authorized Official
Title or Position : CEO
Name : MR. RONALD GIBSON CONCEPCION ROSALES
Credential :
Telephone Number : 623-341-6538
Provider Enumeration Date : 01/28/2014
Last Update Date : 03/18/2015

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