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Organization
CHS CARING PROVIDERS LLC
Active
Organization
CHS CARING PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIO ENCABO (MANAGER)
(702) 489-9355
Entity
Organization
Contact information
Practice address
2330 PASEO DEL PRADO STE C201, LAS VEGAS, NV 89102-4376
(702) 489-9355
(702) 413-6333
Mailing address
2330 PASEO DEL PRADO STE C201, LAS VEGAS, NV 89102-4376
(702) 489-9355
(702) 413-6333
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/15/2020
Last updated
07/13/2021
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