Organization
HALLOW HANDS HOME CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSETTE M GILLIAM (CEO)
(702) 551-5085
Entity
Organization
Contact information
Practice address
3305 SPRING MOUNTAIN RD STE 41, LAS VEGAS, NV 89102-8622
(702) 551-5085
Mailing address
10954 FREE FLOW PL, LAS VEGAS, NV 89138-6165
(702) 551-5085
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20191365892
NEVADA BUSINESS LICENSE
NV
Enumeration date
05/14/2019
Last updated
05/14/2019
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