Individual ProviderWascar CruzCounselorBehavioral Health & Social Service ProvidersPractice Address8430 W Lake Mead Blvd Ste 139, Las Vegas, NV 89128-7672(702) 489-5050(702) 352-8888PECOS EnrollmentBased on the most recent information from CMS, provider Wascar Cruz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1932537255Provider TypeIndividualFull NameCruz, WascarGenderMaleSole ProprietorYesEnumeration Date10/23/2013Last Updated5/10/2022Contact InformationPractice LocationPractice Address8430 W Lake Mead Blvd Ste 139, Las Vegas, NV 89128-7672Phone(702) 489-5050Fax(702) 485-5207Mailing LocationMailing Address9525 Kickapoo Ave, Las Vegas, NV 89149-2398Phone(702) 352-8888FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode225400000XDescriptionRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode251S00000XDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode261QM0850XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer