Organization · NPI-2
Bennett Leq Medical Staffing, PLLC
Home Health Aide · Henderson, NV
NPI number1801442439
StatusActive
Last updated in NPPESAug 9, 2019
Details
- NPI
- 1801442439
- Entity type
- Organization (NPI-2)
- Legal business name
- Bennett Leq Medical Staffing, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2019
- Last updated
- Aug 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
3165 Saint Rose PkwyHenderson, NV 89052-3500
Phone 702-738-8052
Mailing address
9835 Raven Wing Canyon CtLas Vegas, NV 89183-6315
Phone 702-738-8052
Authorized official
Trent Bennett
Owner
7027388052
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