Nevada Care Center | |
1721 E Charleston Blvd Las Vegas NV 89104 | |
(702) 515-9680 | |
Not Available |
Full Name | Nevada Care Center |
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Speciality | Clinic/Center |
Location | 1721 E Charleston Blvd, Las Vegas, Nevada |
Authorized Official Name and Position | Festus Ebonka (OWNER/PRESIDENT) |
Authorized Official Contact | 7025159680 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nevada Care Center 1721 E Charleston Blvd Las Vegas NV 89104-1902 Ph: (702) 515-9680 | Nevada Care Center 1721 E Charleston Blvd Las Vegas NV 89104 Ph: (702) 515-9680 |
NPI Number | 1457742975 |
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Provider Enumeration Date | 02/06/2015 |
Last Update Date | 09/05/2018 |
Medicare PECOS PAC ID | 3678893781 |
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Medicare Enrollment ID | O20150513000791 |
Identifier | Type | State | Issuer |
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1457742975 | NPI | - | NPPES |
Provider Name | Festus O Ebonka |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932241007 PECOS PAC ID: 3971609512 Enrollment ID: I20150513000946 |
Provider Name | Priscilla Vernice Adjorlolo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780887463 PECOS PAC ID: 1759568470 Enrollment ID: I20190927001338 |
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