# ST JEREMIAH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST JEREMIAH CARE HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083248892
- **Authorized official:** MARIETA EMELO (OWNER)
- **Authorized official phone:** (702) 542-9258

## Contact information

- **Practice address:** 3918 CHEROKEE AVE E, LAS VEGAS, NV 89121-4511
- **Practice address phone:** (702) 542-9258
- **Mailing address:** 3918 CHEROKEE AVE E, LAS VEGAS, NV 89121-4511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2020
- **Last updated:** 06/26/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2102248869 | DMV | NV |