NPI 1245696608
Southern Comfort Pca
Practice location
- Address
- 3925 W Cheyenne Ave STE 401, North Las Vegas, NV 89032-3495
- Phone
- (708) 868-2905
Authorised official
- Name
- Shameika Amin
- Title
- Adminstrator
- Phone
- (702) 868-2905
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1245696608
- Entity type
- Organization
- NPI issued
- 14 Jan 2016
- Record last updated
- 14 Jan 2016
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.