Organization
ST. ANDREW CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVANGELINE BRIGINO CRUZ (OWNER)
(702) 480-4858
Entity
Organization
Contact information
Practice address
1168 E HACIENDA AVE, LAS VEGAS, NV 89119-1814
(702) 736-2161
(702) 736-4714
Mailing address
1168 E HACIENDA AVE, LAS VEGAS, NV 89119-1814
(702) 736-2161
(702) 736-4714
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4309AGC10
NV
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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