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Organization
DANIEL ALEXANDER LLC
Active
Organization
DANIEL ALEXANDER LLC
Active
Other names
A Benevolent Heart Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROY DEGUZMAN DESAMITO (MEMBER / FACILITY MANAGER)
(702) 897-0925
Entity
Organization
Contact information
Practice address
508 PEARBERRY AVE, LAS VEGAS, NV 89183-7219
(702) 897-0925
(702) 897-0926
Mailing address
508 PEARBERRY AVE, LAS VEGAS, NV 89183-7219
(702) 897-0925
(702) 897-0926
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9793-AGC
NV DEPT HEALTH & HUMAN SERVICES / DIV OF PUBLIC & BEHAVIORAL HEALTH
NV
Enumeration date
11/29/2019
Last updated
11/29/2019
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