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Organization

NATIVE HOME HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGEL JACKSON ADMINISTRATOR (OWNER)
(702) 862-4177
Entity
Organization

Contact information

Practice address
2235 E FLAMINGO RD, SUITE C-7, LAS VEGAS, NV 89119-5129
(702) 862-4177
(702) 862-4185
Mailing address
2235 E FLAMINGO RD, SUITE C-7, LAS VEGAS, NV 89119-5129
(702) 862-4177
(702) 862-4185

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
116513
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100504839
NV
Enumeration date
03/22/2006
Last updated
09/29/2008
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