Organization
PHYSICIANS CHOICE HOSPICE LLC
Active
Organization
PHYSICIANS CHOICE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WREN (PRESIDENT)
(702) 563-1717
Entity
Organization
Contact information
Practice address
6720 VIA AUSTI PARKWAY, SUITE #250, LAS VEGAS, NV 89119-2568
(702) 563-1717
(702) 563-1718
Mailing address
6720 VIA AUSTI PARKWAY, SUITE NUMBER 250, LAS VEGAS, NV 89119-3568
(702) 563-1717
(702) 563-1718
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
679HPC-13
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006402020
—
NV
05
—
006502020
—
NV
05
—
764391
—
AZ
Enumeration date
06/24/2005
Last updated
08/23/2021
Update your record
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