Organization
LOVELIFE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEVONNE FUNCHES (DIRECTOR)
(702) 754-3484
Entity
Organization
Contact information
Practice address
6330 MCLEOD DR STE 3, LAS VEGAS, NV 89120-4431
(702) 754-3484
(702) 629-7952
Mailing address
6330 MCLEOD DR STE 3, LAS VEGAS, NV 89120-4431
(702) 754-3484
(702) 629-7952
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NV20161129474
NV
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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