Organization
ST MARYS HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELITA BALUYUT M.D. (ADMINISTRATOR)
(702) 248-6900
Entity
Organization
Contact information
Practice address
8945 W POST RD, SUITE 100, LAS VEGAS, NV 89148-2431
(702) 248-6900
(702) 258-7301
Mailing address
8945 W POST RD, SUITE 100, LAS VEGAS, NV 89148-2431
(702) 248-6900
(702) 258-7301
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1306061080
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306061080
—
NV
Enumeration date
06/22/2015
Last updated
06/22/2015
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