Organization Name: | PROCARE HOSPICE OF NEVADA, LLC |
NPI Number: | 1700137395 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG WALSKI (PRESIDENT) |
Mailing Address: | 7469 W Lake Mead Blvd #200 Las Vegas |
State: | NV US |
Postal Code: | 891281045 |
Phone Number: | 7023808300 |
Fax Number: | 7023808302 |
NPI Enumeration Date: | 09/24/2012 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |