Organization
LIFECARE, LLC.
Active
Other names
LifeCare Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARAVILLAS (ADMINISTRATOR)
(702) 769-2781
Entity
Organization
Contact information
Practice address
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-6308
(702) 769-2781
(725) 214-6529
Mailing address
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-6308
(702) 769-2781
(725) 214-6529
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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