| Organization Name: | ANCILE PALLIATIVE CARE, INC |
| NPI Number: | 1164779906 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELISA A RODRIGUEZ (ASST. ADMINISTRATOR) |
| Mailing Address: | 9315 W Sunset Rd Suite 101-c Las Vegas |
| State: | NV US |
| Postal Code: | 891485011 |
| Phone Number: | 7029851944 |
| Fax Number: | 7024050161 |
| NPI Enumeration Date: | 08/10/2012 |
| NPI Last Update Date: | 08/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | NV20121349662 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |