# HONOR CARE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013740406
- **Authorized official:** SITINA REDI MOHAMMED (OWNER)
- **Authorized official phone:** (702) 913-3144

## Contact information

- **Practice address:** 4530 FRESHWATER DR, LAS VEGAS, NV 89103-4381
- **Practice address phone:** (702) 913-3174
- **Mailing address:** 4530 FRESHWATER DR, LAS VEGAS, NV 89103-4381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 08/22/2024