Organization
MARY JEWELS HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWEL DEGUZMAN (OWNER)
(702) 201-8585
Entity
Organization
Contact information
Practice address
2224 CANARY WAY, LAS VEGAS, NV 89106-1912
(702) 201-8585
Mailing address
2224 CANARY WAY, LAS VEGAS, NV 89106
(702) 201-8585
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
EO4373920119
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205183856
—
NV
Enumeration date
10/11/2013
Last updated
10/11/2013
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