institution
Emerald Lake, Inc
Oxygen Equipment & Supplies (DME) in Las Vegas, Nevada
NPI 1578605341

Emerald Lake, Inc is a Oxygen Equipment & Supplies (DME) based in Las Vegas, NV and is specialized in Oxygen Equipment & Supplies. Emerald Lake, Inc practices in Las Vegas, NV. The NPI Number for Emerald Lake, Inc is 1578605341 and holds a License No. MP00814 (Nevada).

The current practice location address for Emerald Lake, Inc is 5243 W Charleston Blvd Ste 9, Las Vegas, NV and can be reached out via phone at 702-678-6267 and via fax at 702-474-7051.

Location: 5243 W Charleston Blvd Ste 9, Las Vegas, NV, 89146-1304
institution
Provider Profile Details
NPI Number
1578605341
Provider Name
Emerald Lake, Inc
Credential
Provider Entity Type
Organization
Address
5243 W Charleston Blvd Ste 9, Las Vegas, NV, 89146-1304
Phone Number
702-678-6267
Fax Number
702-474-7051
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3302694 05 NV
institution
Provider Business Practice Location Address Details
Address
5243 W Charleston Blvd Ste 9
City
State
Zip
89146-1304
Phone Number
702-678-6267
Fax Number
702-474-7051
person
Provider Business Mailing Address Details
Address
5243 W Charleston Blvd Ste 9
City
State
Zip
89146-1304
Phone Number
702-678-6267
Fax Number
702-474-7051
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
MP00814 (Nevada)
Definition
Definition to come...
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