Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wicker Basket LLC

Organization Alzheimer Center (Dementia Center) · NPI 1073006706

Wicker Basket LLC is an Alzheimer Center (Dementia Center) in North las Vegas, Nevada. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3020 Beaufort Ct
North las Vegas, NV 89032-0478
Phone: (702) 994-0857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X

Record details

NPI number1073006706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lourdes Manguino — Ownwe · (702) 445-0088
Other names Wicker Basket
NPI enumeratedJune 7, 2018
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing address3020 Beaufort Ct, North Las Vegas, NV 89032-0478

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