| Delali Management Services | |
|
2585 S Jones Blvd Ste 2f Las Vegas NV 89146-5604 | |
| (702) 806-9143 | |
| (186) 628-0947 |
| Full Name | Delali Management Services |
|---|---|
| Speciality | Social Worker |
| Location | 2585 S Jones Blvd Ste 2f, Las Vegas, Nevada |
| Authorized Official Name and Position | Ayele E Amavigan (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 7028069143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delali Management Services 6121 Meadow View Ln Las Vegas NV 89103-1121 Ph: (702) 806-9143 | Delali Management Services 2585 S Jones Blvd Ste 2f Las Vegas NV 89146-5604 Ph: (702) 806-9143 |
| NPI Number | 1023449089 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 08/01/2022 |
| Certification Date | 07/29/2022 |
| Medicare PECOS PAC ID | 8022320712 |
|---|---|
| Medicare Enrollment ID | O20150709000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023449089 | NPI | - | NPPES |
| Provider Name | Ayele E Amavigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497921605 PECOS PAC ID: 2062725369 Enrollment ID: I20150715001997 |
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