Organization
OATH HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEONNA MCREYNOLDS (OWNER)
(702) 831-2223
Entity
Organization
Contact information
Practice address
4547 DOVER STRAIGHT ST, LAS VEGAS, NV 89115-2109
(702) 831-2223
Mailing address
4547 DOVER STRAIGHT ST, LAS VEGAS, NV 89115-2109
(702) 831-2223
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1405303547
ID
NV
Enumeration date
09/04/2020
Last updated
09/04/2020
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