Organization
APPOLONIA RESIDENTIAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA DAVIS (PRESIDENT)
(317) 331-7981
Entity
Organization
Contact information
Practice address
5336 LAQUINTA HILLS ST, NORTH LAS VEGAS, NV 89081
(317) 331-7981
Mailing address
5336 LAQUINTA HILLS ST, NORTH LAS VEGAS, NV 89081
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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