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NPI Code Detail

MEDICARE: APOLLOELEVEN LAUREL

MEDICARE: APOLLOELEVEN LAUREL
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
1372500000XChore Provider
2372600000XAdult Companion
33747A0650XAttendant Care Provider
4376J00000XHomemaker
53747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1992207864
Entity Type Code : Individual
Provider Name (Legal Business Name) : APOLLOELEVEN LAUREL
Provider Business Mailing Address
First Line : 1127 EMERALD STONE AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-3032
Country : US
Telephone Number : 702-807-3440
Fax Number : 702-359-4623
Provider Business Practice Location Address
First Line : 1127 EMERALD STONE AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-3032
Country : US
Telephone Number : 702-807-3440
Fax Number : 702-359-4623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2018
Last Update Date : 09/26/2018

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Directions to “ APOLLOELEVEN LAUREL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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