Organization
DANIEL WELLCARE LLC
Active
Organization
DANIEL WELLCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL COOK (CEO)
(702) 789-0009
Entity
Organization
Contact information
Practice address
2701 N DECATUR BLVD APT 2017, LAS VEGAS, NV 89108-2965
(702) 789-0009
Mailing address
2701 N DECATUR BLVD APT 2017, LAS VEGAS, NV 89108-2965
(702) 789-0009
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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