| Bluecove Homes Llc | |
|
9535 Scottville Ct Las Vegas NV 89148-4621 | |
| (702) 834-4307 | |
| (702) 485-4437 |
| Full Name | Bluecove Homes Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9535 Scottville Ct, Las Vegas, Nevada |
| Authorized Official Name and Position | Stacey Suzanne Payne (FOUNDER/OWNER) |
| Authorized Official Contact | 7028344307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluecove Homes Llc 9535 Scottville Ct Las Vegas NV 89148-4621 Ph: (702) 834-4307 | Bluecove Homes Llc 9535 Scottville Ct Las Vegas NV 89148-4621 Ph: (702) 834-4307 |
| NPI Number | 1053792879 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053792879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20140769237-41 (Nevada) | Primary |
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