Organization
SOUTHERN COMFORT PCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEIKA AMIN (ADMINSTRATOR)
(702) 868-2905
Entity
Organization
Contact information
Practice address
3925 W CHEYENNE AVE STE 401, N LAS VEGAS, NV 89032-3495
(702) 868-8905
Mailing address
3925 W CHEYENNE AVE STE 401, N LAS VEGAS, NV 89032-3495
(702) 868-8905
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
8389PCS
NV
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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