DIABETIC LIFE ACADEMY, LLC

LAS VEGAS, NV
NPI1861701062
Entity TypeOrganization
Authorized ContactBRANDY LYNN MOSLEY
Office Manager/Compliance Officer
702-880-9500
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: NV  2000394-810)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: NV  2061-0219)
305S00000X Point of Service
(Licence: NV  2061-0219)
Enumeration Date2010-10-05
Last Update Date2011-01-14
Business Address
DIABETIC LIFE ACADEMY, LLC
4270 S. DECATUR BLVD. SUITE B-1B
LAS VEGAS, NV 89103-6800
Phone number: 702-880-9500
Mailing Address
DIABETIC LIFE ACADEMY, LLC
4270 S. DECATUR BLVD. SUITE B-1B
LAS VEGAS, NV 89103-6800
Phone number: 702-880-9500