Organization Name: | HOSPICE OF LAS VEGAS, INC. |
NPI Number: | 1538101084 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOLLY MONTANO (CEO) |
Mailing Address: | 1200 S 4th St Ste 100 Las Vegas |
State: | NV US |
Postal Code: | 891041046 |
Phone Number: | 7028539063 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 4540HPC-0 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |