- Enrollment id
- O20230419001782
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1740988187
- Multiple npi flag
- N
- Ccn
- 291658
- Associate id
- 0648645929
- Organization name
- ALLPRO HOSPICE LLC
- Incorporation date
- 2022-08-18
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2320 PASEO DEL PRADO
- Address line 2
- STE B106-D
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891024358