Organization
ST JEREMIAH LLC
Active
Other names
ST JEREMIAH CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MARIETA EMELO (OWNER)
(702) 542-9258
Entity
Organization
Contact information
Practice address
3918 CHEROKEE AVE E, LAS VEGAS, NV 89121-4511
(702) 542-9258
Mailing address
3918 CHEROKEE AVE E, LAS VEGAS, NV 89121-4511
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102248869
DMV
NV
Enumeration date
03/02/2020
Last updated
06/26/2020
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