Provider Demographics
NPI:1962133470
Name:BEST CRANIAL CARE
Entity type:Organization
Organization Name:BEST CRANIAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHETIC ORTHOTIC PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:RECHELLE
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTHER
Authorized Official - Phone:702-752-8354
Mailing Address - Street 1:8445 LAS VEGAS BLVD S APT 1057
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-1690
Mailing Address - Country:US
Mailing Address - Phone:702-752-8354
Mailing Address - Fax:
Practice Address - Street 1:8445 LAS VEGAS BLVD S APT 1057
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1690
Practice Address - Country:US
Practice Address - Phone:702-752-8354
Practice Address - Fax:184-470-0137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier