Organization
LIFECARE MEDICAL SUPPLIES WEST INC
Active
Organization
LIFECARE MEDICAL SUPPLIES WEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLETUS O AMADI (CEO)
(702) 303-6790
Entity
Organization
Contact information
Practice address
6415 S FORT APACHE RD, STE#175, LAS VEGAS, NV 89148-6744
(702) 722-2126
Mailing address
6415 S FORT APACHE RD, STE#175, LAS VEGAS, NV 89148-6744
(702) 722-2126
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NV20161145074
NV
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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