Organization
J LOAM INC
Active
Other names
At Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISABEL D. TCRUZ (PRESIDENT & C.E.O)
(702) 946-6666
Entity
Organization
Contact information
Practice address
2721 E. RUSSEL ROAD, LAS VEGAS, NV 89120-2490
(702) 946-6666
(702) 946-6670
Mailing address
2721 E. RUSSELL ROAD, LAS VEGAS, NV 89120-2490
(702) 946-6666
(702) 946-6670
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3688HHA3
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500696
—
NV
Enumeration date
01/12/2006
Last updated
04/05/2016
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