OrganizationActive
Wicker Basket LLC
NPI 1073006706 · Alzheimer Center (Dementia Center) · North Las Vegas, NV
Provider details
- NPI number
- 1073006706
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Authorized official
- Lourdes Manguino, Ownwe
Practice location
3020 Beaufort Ct
North Las Vegas, NV 89032-0478
Phone: (702) 994-0857
Mailing address
3020 Beaufort Ct
North Las Vegas, NV 89032-0478
Registry dates
- Enumerated
- 2018-06-07
- Last updated
- 2020-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.