| Relief Healthcare Of Nevada | |
|
1600 E Desert Inn Rd Ste 104 Las Vegas NV 89169-2505 | |
| (702) 208-2194 | |
| Not Available |
| Full Name | Relief Healthcare Of Nevada |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 E Desert Inn Rd Ste 104, Las Vegas, Nevada |
| Authorized Official Name and Position | Maimouna R Cantrall (OWNER) |
| Authorized Official Contact | 7025890701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Relief Healthcare Of Nevada 1600 E Desert Inn Rd Ste 104 Las Vegas NV 89169-2505 Ph: (702) 208-2194 | Relief Healthcare Of Nevada 1600 E Desert Inn Rd Ste 104 Las Vegas NV 89169-2505 Ph: (702) 208-2194 |
| NPI Number | 1942870365 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Medicare PECOS PAC ID | 3577939537 |
|---|---|
| Medicare Enrollment ID | O20221014002966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942870365 | NPI | - | NPPES |
| Provider Name | Ifeanyi C Madu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295295038 PECOS PAC ID: 2860729647 Enrollment ID: I20190816001757 |
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