Organization
NURSES CARE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSEPHINE REBOLLEDO AGUSTIN RN (ADMINISTRATOR)
(702) 410-2616
Entity
Organization
Contact information
Practice address
8290 W SAHARA AVE STE 210, LAS VEGAS, NV 89117-8937
(702) 410-2616
(702) 938-4109
Mailing address
8290 W SAHARA AVE STE 210, LAS VEGAS, NV 89117-8937
(702) 410-2616
(702) 938-4109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NV20171307704
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20171307704
BUSINESS LICENSE
NV
Enumeration date
08/26/2017
Last updated
07/15/2021
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