Organization
INDEPENDENT LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZLATA ZUJIC (DIRECTOR)
(702) 871-2273
Entity
Organization
Contact information
Practice address
4955 S DURANGO DR, 164, LAS VEGAS, NV 89113-0152
(702) 871-2273
Mailing address
4955 S DURANGO DR, 164, LAS VEGAS, NV 89113-0152
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6344PCS-4
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
NV
Enumeration date
05/06/2015
Last updated
05/06/2015
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