Organization
ST JUDE HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE ABRIL (PRESIDENT)
(702) 409-8957
Entity
Organization
Contact information
Practice address
6880 HATHAWAY DR, LAS VEGAS, NV 89156-7143
(702) 409-8957
(702) 437-1473
Mailing address
6880 HATHAWAY DR, LAS VEGAS, NV 89156-7143
(702) 409-8957
(702) 437-1473
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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