| Iliad And Odyssey Behavioral Health | |
|
3110 E Sunset Rd Ste K Las Vegas NV 89120-5700 | |
| (702) 262-0110 | |
| Not Available |
| Full Name | Iliad And Odyssey Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 3110 E Sunset Rd Ste K, Las Vegas, Nevada |
| Authorized Official Name and Position | Homer Cabrera Tuazon (CEO) |
| Authorized Official Contact | 7024173865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iliad And Odyssey Behavioral Health Po Box 400546 Las Vegas NV 89140 Ph: (702) 262-0110 | Iliad And Odyssey Behavioral Health 3110 E Sunset Rd Ste K Las Vegas NV 89120-5700 Ph: (702) 262-0110 |
| NPI Number | 1336712975 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 0446650485 |
|---|---|
| Medicare Enrollment ID | O20210614002482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336712975 | NPI | - | NPPES |
| Provider Name | Homer C Tuazon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861817934 PECOS PAC ID: 1850518556 Enrollment ID: I20140804000617 |
| Provider Name | Leika-marrie Rosete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194299404 PECOS PAC ID: 0446686919 Enrollment ID: I20200825002552 |
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