CCN: 291558 NPI: 1700232402 Organization

LIBERTY CREEK HOSPICE, LLC

2310 PASEO DEL PRADO STE A203
LAS VEGAS, NV 891024330

Contact Information

Phone 7029102333
Enumeration Date 2016-05-11
Last Updated 2016-05-11

Taxonomies

Code: 251G00000X (Primary) License State: NV License: NV20161219404

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

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providerType 35

specialPaymentIndicator

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cbsaActualGeographicLocation 29820

providerType 35

specialPaymentIndicator

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localityCode 00

cbsaActualGeographicLocation 29820

providerType 35

specialPaymentIndicator

carrierCode 01312

localityCode 00