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Organization
AGAVE SPECIALTY CARE, LLC
Active
Organization
AGAVE SPECIALTY CARE, LLC
Active
Other names
Agave Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
HOMER SIMS (OWNER)
(702) 350-6300
Entity
Organization
Contact information
Practice address
3335 RAWHIDE ST, LAS VEGAS, NV 89120-1933
(725) 204-9005
(702) 268-8925
Mailing address
2714 DUCK POND CT, HENDERSON, NV 89074-1915
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
Other
Enumeration date
12/07/2024
Last updated
04/03/2025
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