Provider Demographics
NPI:1407231368
Name:PEACE HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:PEACE HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:G
Authorized Official - Last Name:VIGILIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-550-4246
Mailing Address - Street 1:3017 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE 30
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1941
Mailing Address - Country:US
Mailing Address - Phone:702-550-4246
Mailing Address - Fax:
Practice Address - Street 1:3017 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 30
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1941
Practice Address - Country:US
Practice Address - Phone:702-550-4246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based