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Organization
THI OF NEVADA AT HENDERSON CONVALESCENT LLC
Active
Organization
THI OF NEVADA AT HENDERSON CONVALESCENT LLC
Active
Other names
Henderson Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BEDARD (PRESIDENT)
(702) 565-8555
Entity
Organization
Contact information
Practice address
1180 E LAKE MEAD PKWY, HENDERSON, NV 89015-5561
(702) 565-8555
(702) 564-6330
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001902200
—
NV
Enumeration date
10/07/2006
Last updated
10/10/2011
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