Provider Demographics
NPI:1730808478
Name:LV UNIQUE CARE LLC
Entity type:Organization
Organization Name:LV UNIQUE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:702-866-7777
Mailing Address - Street 1:4503 W SAHARA AVE UNIT 170
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-3760
Mailing Address - Country:US
Mailing Address - Phone:617-319-4910
Mailing Address - Fax:
Practice Address - Street 1:4503 W SAHARA AVE UNIT 170
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-3760
Practice Address - Country:US
Practice Address - Phone:617-319-4910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LV UNIQUE CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-25
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies