NPI 1205504917

Charleston Pediatric Snf LLC

Organisation Skilled Nursing Facility Las Vegas, NV

Practice location

Address: 2496 W Charleston Blvd, Las Vegas, NV 89102-2179
Phone: (702) 310-3720
Fax: (702) 310-3722

Authorised official

Name: Daniel Evans Mathis
Title: Ceo
Phone: (702) 310-3720

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1205504917
Entity type: Organization
NPI issued: 30 Aug 2021
Record last updated: 13 Feb 2025

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.