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Organization
DIDC INC
Active
Organization
DIDC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR VALENTIN JIMENEZ (ADMINSTRATOR)
(702) 273-6658
Entity
Organization
Contact information
Practice address
535 S DECATUR BLVD, LAS VEGAS, NV 89107-3910
(702) 562-2273
(702) 227-8351
Mailing address
535 S DECATUR BLVD, LAS VEGAS, NV 89107-3910
(702) 562-2273
(702) 227-8351
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NV20021448940
NV
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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