Organization
LIVINGSTON HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE R SCHMAL RFA (ADMINISTRATOR)
(702) 858-4559
Entity
Organization
Contact information
Practice address
5858 PALMYRA AVE, LAS VEGAS, NV 89146-6733
(702) 858-4559
(801) 885-0572
Mailing address
5975 W TWAIN AVE, LAS VEGAS, NV 89103-1237
(702) 368-7700
(810) 885-0572
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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