Individual
BERNADETTE ANN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 ROSELAND AVE, LAS VEGAS, NV 89130-2635
(702) 349-0358
Mailing address
5300 ROSELAND AVE, LAS VEGAS, NV 89130-2635
(702) 349-0358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880782977
—
NV
Enumeration date
02/25/2022
Last updated
02/25/2022
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