Organization
THI OF NEVADA II AT NORTH LAS VEGAS, LLC
Active
Other names
North Las Vegas Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY MORENO (PRESIDENT)
(702) 649-7800
Entity
Organization
Contact information
Practice address
3215 E CHEYENNE AVE, NORTH LAS VEGAS, NV 89030-4235
(702) 649-7800
(702) 649-2144
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00190202340
—
NV
Enumeration date
10/07/2006
Last updated
04/08/2008
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