Organization
DIVINE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FIDEL RAMOS NAVATA (CEO)
(702) 242-4663
Entity
Organization
Contact information
Practice address
5000 W OAKEY BLVD STE A7, LAS VEGAS, NV 89146-3394
(702) 242-4663
(702) 242-4662
Mailing address
5000 W OAKEY BLVD STE A7, LAS VEGAS, NV 89146-3394
(702) 242-4663
(702) 242-4662
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1010126172-001
NV
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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