Provider First Line Business Practice Location Address:
VEGAS COMPASSIONATE CARE ; 2820 W. CHARLESTON BLVD B-21
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-413-6011
Provider Business Practice Location Address Fax Number:
702-988-8780
Provider Enumeration Date:
04/16/2020