Organization
PREFERRED CARE WEST II INC
Active
Other names
MISSION PINES NURSING AND REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY MALDOVEN (ADMINISTRATOR)
(702) 644-7777
Entity
Organization
Contact information
Practice address
2860 E CHEYENNE AVE, NORTH LAS VEGAS, NV 89030-4234
(702) 644-7777
(702) 644-5909
Mailing address
2860 E CHEYENNE AVE, NORTH LAS VEGAS, NV 89030-4234
(702) 644-7777
(702) 644-5909
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
181180
NV
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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