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Organization
AVANA PERSONAL CARE
Active
Organization
AVANA PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GENESIS BAUTISTA (OWNER)
(702) 918-6010
Entity
Organization
Contact information
Practice address
4550 W OAKEY BLVD, STE 111-R, LAS VEGAS, NV 89102-1581
(702) 918-6010
Mailing address
4550 W OAKEY BLVD, STE 111-R, LAS VEGAS, NV 89102-1581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NV20161015969
NV
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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