Organization
PREFERRED CARE WEST II INC
Active
Other names
Mission Pines Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT)
(972) 931-3800
Entity
Organization
Contact information
Practice address
2860 E CHEYENNE AVE, NORTH LAS VEGAS, NV 89030-4234
(702) 644-7777
(702) 644-5909
Mailing address
5420 W PLANO PKWY, PLANO, TX 75093-4823
(972) 931-3800
(972) 767-6222
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
691ICF-19
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902100
—
NV
Enumeration date
11/29/2005
Last updated
01/14/2013
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