Organization
DESERT ROSE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLIVER FLORENTINO (MANAGER)
(702) 889-8414
Entity
Organization
Contact information
Practice address
3400 SIRIUS AVE STE A, LAS VEGAS, NV 89102-8310
(702) 889-8414
(702) 889-2161
Mailing address
3400 SIRIUS AVE STE A, LAS VEGAS, NV 89102-8310
(702) 889-8414
(702) 889-2161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
H13-00304-1-131902
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003302261
—
NV
Enumeration date
10/23/2006
Last updated
02/28/2012
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