Organization
CCI HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINYON SHARPE LPN (ADMINISTRATOR)
(725) 400-3592
Entity
Organization
Contact information
Practice address
500 N RAINBOW BLVD STE 300-318, LAS VEGAS, NV 89107-1082
(702) 333-8153
Mailing address
5263 SOUVENIR LN, LAS VEGAS, NV 89118-1334
(725) 400-3592
(702) 333-0662
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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