| Apple Grove | |
|
3155 E Patrick Ln Ste 1 Las Vegas NV 89120-3481 | |
| (702) 992-0576 | |
| (702) 992-0391 |
| Full Name | Apple Grove |
|---|---|
| Speciality | Respite Care |
| Location | 3155 E Patrick Ln Ste 1, Las Vegas, Nevada |
| Authorized Official Name and Position | Icia Sandulak (MANAGING MEMBER) |
| Authorized Official Contact | 7025767942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Grove 3155 E Patrick Ln Ste 1 Las Vegas NV 89120-3481 Ph: (702) 992-0576 | Apple Grove 3155 E Patrick Ln Ste 1 Las Vegas NV 89120-3481 Ph: (702) 992-0576 |
| NPI Number | 1730722778 |
|---|---|
| Provider Enumeration Date | 10/22/2019 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730722778 | NPI | - | NPPES |
| 571237806 | Other | APPLE GROVE |
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