Organization
TABA PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM NALLELY PERDOMO-AGUILAR (DIRECTOR)
(702) 353-0602
Entity
Organization
Contact information
Practice address
5160 S EASTERN AVE, SUITE F, LAS VEGAS, NV 89119-2376
(702) 353-0602
(702) 724-0585
Mailing address
5160 S EASTERN AVE, SUITE F, LAS VEGAS, NV 89119-2376
(702) 353-0602
(702) 724-0585
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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