Organization
THI OF NEVADA AT HENDERSON CONVALESCENT LLC
Active
Other names
Henderson Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BEDARD (PRESIDENT)
(702) 565-8555
Entity
Organization
Contact information
Practice address
1180 E LAKE MEAD PKWY, HENDERSON, NV 89015-5561
(702) 565-8555
(702) 564-6330
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001902200
—
NV
Enumeration date
10/07/2006
Last updated
10/10/2011
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