DIVINE MERCY HEALTH SERVICES LLC NPI 1730582941

NPI Information

DIVINE MERCY HEALTH SERVICES LLC is a hospice care community based in Las Vegas, NV. DIVINE MERCY HEALTH SERVICES LLC NPI is 1730582941. The provider is registered as an organization entity type.
The provider Is Doing Business As Divine Mercy Hospice Services.

The provider's business location address is:

3750 S JONES BLVD
STE 130
LAS VEGAS, NV
ZIP 89103-208
Phone: (702) 202-0763
Fax: (702) 202-1293

The provider's authorized official is Delsa A Dagalea .
The authorized official title is Administrator and has the following contact phone number (702) 202-0763.

The CLIA number assigned to this NPI record is 29D2110109 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 10/1/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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