Compassion Community Care Clinic | |
6260 Mcleod Dr Ste 100 Las Vegas NV 89120-4445 | |
(702) 292-4073 | |
Not Available |
Full Name | Compassion Community Care Clinic |
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Speciality | Social Worker |
Location | 6260 Mcleod Dr Ste 100, Las Vegas, Nevada |
Authorized Official Name and Position | Ladwana Retic (OWNER) |
Authorized Official Contact | 7024994312 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compassion Community Care Clinic 6260 Mcleod Dr Ste 100 Las Vegas NV 89120-4445 Ph: (702) 292-4073 | Compassion Community Care Clinic 6260 Mcleod Dr Ste 100 Las Vegas NV 89120-4445 Ph: (702) 292-4073 |
NPI Number | 1376189076 |
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Provider Enumeration Date | 11/18/2019 |
Last Update Date | 01/10/2025 |
Certification Date | 01/10/2025 |
Medicare PECOS PAC ID | 3375914781 |
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Medicare Enrollment ID | O20230123002084 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376189076 | NPI | - | NPPES |
Provider Name | Ladwana J Retic |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851682587 PECOS PAC ID: 6002048279 Enrollment ID: I20140423000144 |
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