Organization
PROCARE HOSPICE OF NEVADA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WALSKI (CFO)
(702) 380-8300
Entity
Organization
Contact information
Practice address
8025 AMIGO ST, LAS VEGAS, NV 89123-1210
(702) 380-8300
(702) 380-8302
Mailing address
9811 W CHARLESTON BLVD, SUITE 2628, LAS VEGAS, NV 89117-7528
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291534
MEDICARE PTAN
—
Enumeration date
09/24/2012
Last updated
09/02/2021
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