Organization
MEDICAL SERVICES OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIAH DEPEW (ADMINISTRATOR)
(775) 828-6420
Entity
Organization
Contact information
Practice address
1325 AIRMOTIVE WAY, RENO, NV 89502-3201
(775) 828-6420
Mailing address
1325 AIRMOTIVE WAY, RENO, NV 89502-3201
(775) 828-6420
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
5445PCS-3
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427138338
—
NV
05
—
9005005382
—
NV
05
—
9005042153
—
NV
Enumeration date
01/25/2013
Last updated
01/25/2013
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