Organization
BRAVO HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENEO LAZO GUIKING NP (ADMINISTRATOR)
(702) 883-7336
Entity
Organization
Contact information
Practice address
6224 NARROW ISTHMUS AVE, LAS VEGAS, NV 89139-6410
(702) 883-7336
(702) 333-2197
Mailing address
6224 NARROW ISTHMUS AVE, LAS VEGAS, NV 89139-6410
(702) 883-7336
(702) 333-2197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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