# DANIEL ALEXANDER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Benevolent Heart Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417594284
- **Authorized official:** ROY DEGUZMAN DESAMITO (MEMBER / FACILITY MANAGER)
- **Authorized official phone:** (702) 897-0925

## Contact information

- **Practice address:** 508 PEARBERRY AVE, LAS VEGAS, NV 89183-7219
- **Practice address phone:** (702) 897-0925
- **Practice address fax:** (702) 897-0926
- **Mailing address:** 508 PEARBERRY AVE, LAS VEGAS, NV 89183-7219
- **Mailing address phone:** (702) 897-0925
- **Mailing address fax:** (702) 897-0926

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2019
- **Last updated:** 11/29/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 9793-AGC | NV DEPT HEALTH & HUMAN SERVICES / DIV OF PUBLIC & BEHAVIORAL HEALTH | NV |