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Organization
SCHMIDT LLC
Active
Organization
SCHMIDT LLC
Active
Other names
Good Samaritan PCA
Organization subpart
No
Provider details
NPI number
Authorized official
ANA BAILETTI (ASSISTANT ADMINISTRATOR)
(702) 986-8514
Entity
Organization
Contact information
Practice address
3365 WYNN RD STE B, LAS VEGAS, NV 89102-8202
(702) 986-8514
Mailing address
3365 WYNN RD STE B, LAS VEGAS, NV 89102-8202
(702) 986-8514
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9110-PCS
BUREAU OF HEALTH CARE QUALITY AND COMPLIANCE
NV
01
—
NV20171544301
STATE LICENSE
NV
Enumeration date
01/24/2019
Last updated
10/17/2019
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