Organization
MORNING STAR CARE HOME
Active
Other names
Morning Star Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMEO VILLANUEVA BALGAN (OWNER/ADMINISTRATOR)
(702) 301-5877
Entity
Organization
Contact information
Practice address
7560 SILVER LEAF WAY, LAS VEGAS, NV 89147-4957
(702) 301-5877
Mailing address
7560 SILVER LEAF WAY, LAS VEGAS, NV 89147-4957
(702) 301-5877
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
7075
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005034390
—
NV
Enumeration date
12/21/2017
Last updated
01/19/2018
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