Organization
CHISAL ENTERPRISES, INC.
Active
Other names
Chisal Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER A BASILIO RN (ADMINISTRATOR)
(702) 898-2212
Entity
Organization
Contact information
Practice address
6230 MCLEOD DR, SUITE #100, LAS VEGAS, NV 89120-4442
(702) 898-2212
(702) 898-2201
Mailing address
6230 MCLEOD DR, SUITE #100, LAS VEGAS, NV 89120-4442
(702) 898-2212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4584HHA-1
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4584HHA-1
NV STATE BLC LICENSE
NV
Enumeration date
01/09/2007
Last updated
08/22/2020
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