Individual
MONTY PAUL MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
264 MATTINO WAY, HENDERSON, NV 89074-1434
(702) 806-7028
(443) 596-1281
Mailing address
264 MATTINO WAY, HENDERSON, NV 89074-1434
(702) 806-7028
(443) 596-1281
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568831147
—
MO
Enumeration date
09/09/2020
Last updated
09/09/2020
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