Organization
4ELEVEN MANAGEMENT
Active
Other names
Custom Golf Cart Repair
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN GREEN (MANAGING MEMBER)
(702) 765-0066
Entity
Organization
Contact information
Practice address
812 E SAHARA AVE STE 3, LAS VEGAS, NV 89104-2970
(702) 902-0915
Mailing address
812 E SAHARA AVE STE 3, LAS VEGAS, NV 89104-2970
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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