Organization
NICKSONHOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY RENEE BUCHANAN-NICKSON (CEO)
(702) 353-1913
Entity
Organization
Contact information
Practice address
2813 PERLITER AVE, NORTH LAS VEGAS, NV 89030-8707
(702) 353-1913
Mailing address
2813 PERLITER AVE, NORTH LAS VEGAS, NV 89030-8707
(702) 353-1913
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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