# MESA VIEW HOME CARE

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

## Provider details

- **NPI number:** 1043559248
- **Authorized official:** MR. TY S WAKEFIELD PT (CEO)
- **Authorized official phone:** (702) 346-2460

## Contact information

- **Practice address:** 330 FALCON RIDGE PKWY, BUILDING 200 STE A, MESQUITE, NV 89027-8877
- **Practice address phone:** (702) 346-2460
- **Practice address fax:** (702) 346-2466
- **Mailing address:** 330 FALCON RIDGE PKWY, BUILDING 200 STE A, MESQUITE, NV 89027-8877
- **Mailing address phone:** (702) 346-2460
- **Mailing address fax:** (702) 346-2466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 7402PCS-0 | NV | Yes |

## Other

- **Enumeration date:** 02/07/2013
- **Last updated:** 02/07/2013
