Organization
COMMUNITY CARE SERVICES LLC
Active
Parent organization
COMMUNITY CARE SERVICES LLC
Other names
Renown Dermatology, Laser & Skin Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE SERVICES LLC
Authorized official
MR. BRETT MOORE (CFO ACUTE CARE)
(775) 982-6343
Entity
Organization
Contact information
Practice address
6536 S MCCARRAN BLVD STE B, RENO, NV 89509-6152
(775) 982-8255
(775) 982-8252
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
12/06/2018
Last updated
06/01/2024
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