Organization
BEAUTIFUL LIFE INC.
Active
Other names
Beautiful Life PCA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE HARRIS (DIRECTOR)
(702) 491-1265
Entity
Organization
Contact information
Practice address
1380 E SILVERADO RANCH BLVD, LAS VEGAS, NV 89183-5924
(702) 453-8878
(702) 453-8874
Mailing address
1380 E SILVERADO RANCH BLVD, LAS VEGAS, NV 89183-5924
(702) 453-8878
(702) 453-8874
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250017558
—
NV
Enumeration date
08/31/2022
Last updated
08/31/2022
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