Organization
MY FAMILY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADE MADISON OTR/L (ADMINISTRATOR)
(702) 499-0443
Entity
Organization
Contact information
Practice address
6785 S EASTERN AVE STE 6, LAS VEGAS, NV 89119-3947
(702) 499-0443
Mailing address
17 VINTAGE RIDGE DR, LAS VEGAS, NV 89141-6063
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
12/04/2020
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