Organization
LIFECARE MEDICAL SUPPLIES INC
Active
Other names
Care N Home Medical Supplies Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLETUS ONYE AMADI MR. (PRESIDENT)
(702) 696-1527
Entity
Organization
Contact information
Practice address
6415 S FORT APACHE RD STE 170, LAS VEGAS, NV 89148-6747
(702) 696-1527
(702) 696-1591
Mailing address
6415 S FORT APACHE RD STE 170, LAS VEGAS, NV 89148-6747
(702) 696-1527
(702) 696-1591
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
005802700
NV
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
003302700
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003302700
—
NV
Enumeration date
11/29/2005
Last updated
08/30/2021
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