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Organization
SOUTHERN COMFORT PCA
Active
Organization
SOUTHERN COMFORT PCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEIKA AMIN (ADMINSTRATOR)
(702) 868-2901
Entity
Organization
Contact information
Practice address
3925 W CHEYENNE AVE STE 401, NORTH LAS VEGAS, NV 89032-3495
(702) 868-2901
Mailing address
3925 W CHEYENNE AVE STE 401, NORTH LAS VEGAS, NV 89032-3495
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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