Organization
SUPPLEMENTAL HEALTHCARE
Active
Other names
SHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAIN KAISERMAN (SUPERVISOR/MANAGER)
(999) 999-9999
Entity
Organization
Contact information
Practice address
1120 N TOWN CENTER DR STE 120, LAS VEGAS, NV 89144-6302
(999) 999-9999
Mailing address
5135 MARSHALL ISLAND CT, NORTH LAS VEGAS, NV 89031-0962
(702) 494-9323
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RC1676
NV
283X00000X
Rehabilitation Hospital
RC1676
NV
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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