NPI 1154604700
Supplemental Healthcare
Practice location
- Address
- 1120 N Town Center Dr STE 120, Las Vegas, NV 89144-6302
- Phone
- (999) 999-9999
- Mailing address
- 5135 Marshall Island CT, North Las Vegas, NV 89031-0962
Authorised official
- Name
- Brain Kaiserman
- Title
- Supervisor/Manager
- Phone
- (999) 999-9999
Registered specialties (2)
Nursing Care Agency
Primary
Rehabilitation Hospital
Registry record
- NPI
- 1154604700
- Entity type
- Organization
- NPI issued
- 21 Sep 2011
- Record last updated
- 21 Sep 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.