Demare Hall

Individual provider Active NPI Personal Care Attendant · Laughlin, NV

NPI 1336712470 · NPPES record last updated Jul 16, 2021

Key facts

NPI
1336712470
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
3665 S Needles Hwy
Laughlin, NV 89029-0235
Phone
(702) 986-5018
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

3665 S Needles Hwy
Laughlin, NV 89029-0235

Mailing address

410 S Rampart Blvd Ste 390
Las Vegas, NV 89145-5749

Other providers in Laughlin, NV

All providers in Laughlin, NV · Personal Care Attendant in Nevada

Sources for this page

Verify at the official NPI Registry.