Organization
GRACE HOSPICE OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRIO ENCABO RN (OTHER)
(702) 201-1807
Entity
Organization
Contact information
Practice address
2330 PASEO DEL PRADO STE C201, LAS VEGAS, NV 89102-4376
(702) 201-1807
(725) 307-8717
Mailing address
2330 PASEO DEL PRADO STE C201, LAS VEGAS, NV 89102-4376
(702) 201-1807
(725) 307-8717
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
NV20181348397
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20181348397
NEVADA STATE BUSINESS LICENSE
NV
Enumeration date
06/15/2018
Last updated
01/16/2025
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