WB
WICKER BASKET LLC
Assisted Living
OIG CLEARNPI VERIFIED
Location
NORTH LAS VEGAS, NV
Licensed since
2018
Rate
—
Federal identifiers
NPI registry number1073006706
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameLOURDES MANGUINO
TitleOWNWE
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