Organization
FRONTLINERS HOME HEALTH OF LAS VEGAS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN MAY HERODICO (PRESIDENT)
(702) 956-7626
Entity
Organization
Contact information
Practice address
7528 FONTERA CT, LAS VEGAS, NV 89139-6310
(928) 292-9012
Mailing address
7528 FONTERA CT, LAS VEGAS, NV 89139-6310
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/15/2019
Last updated
12/08/2020
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