Southern Comfort Pca
NPI #1982060349 in N Las Vegas, Nevada
Provider Information
- NPI Number
- 1982060349
- Entity Type
- Organization
- Organization Name
- Southern Comfort Pca
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Jan 14, 2016
- Last Updated
- Jan 14, 2016
Practice Location
- Address
- 3925 W CHEYENNE AVE STE 401
- City
- N Las Vegas
- State
- Nevada
- ZIP Code
- 89032-3495
- Phone
- (702) 868-8905
Authorized Official
- Name
- SHAMEIKA AMIN
- Title
- ADMINSTRATOR
- Phone
- (702) 868-2905
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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