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Organization
SRS HOME HEALTH LLC
Active
Organization
SRS HOME HEALTH LLC
Active
Other names
SRS Home Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WHALEN (CONTROLLER)
(702) 990-2290
Entity
Organization
Contact information
Practice address
2779 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4186
(702) 589-4975
Mailing address
2779 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4186
(702) 589-4975
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
NV
Enumeration date
02/12/2020
Last updated
07/23/2024
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