Organization
LIFECARE PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI NICOLE DYBIK (AUTHORIZING OFFICIAL)
(843) 814-5177
Entity
Organization
Contact information
Practice address
4416 E BONANZA RD UNIT 120B, LAS VEGAS, NV 89110-6349
(702) 350-1204
Mailing address
4416 E BONANZA RD UNIT 120B, LAS VEGAS, NV 89110-6349
(702) 350-1204
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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