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Organization
NOVA ALL STAR, INC.
Active
Organization
NOVA ALL STAR, INC.
Active
Other names
Nova All Star Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN FONTILLAS (PRESIDENT)
(702) 882-7736
Entity
Organization
Contact information
Practice address
5525 ROSE THICKET ST, LAS VEGAS, NV 89130-1653
(702) 882-7736
(702) 633-8928
Mailing address
5525 ROSE THICKET ST, LAS VEGAS, NV 89130-1653
(702) 882-7736
(702) 633-8928
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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