Organization
WWB INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR JIMENEZ (AREA MANAGER)
(702) 273-6658
Entity
Organization
Contact information
Practice address
2860 E FLAMINGO RD, SUITE. C, LAS VEGAS, NV 89121-5271
(702) 562-3355
(702) 369-8284
Mailing address
2001 S. JONES BLVD, ADVANCED HOME HEALTH CARE SUITE. K, LAS VEGAS, NV 89146-3165
(702) 562-3355
(702) 369-8284
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
5425PCS5
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245301464
—
NV
05
—
9005037013
—
NV
Enumeration date
02/25/2013
Last updated
02/25/2013
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