Organization
PURITY HOME HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAWATA FOFANA (PRESIDENT)
(646) 418-4681
Entity
Organization
Contact information
Practice address
3460 E SUNSET RD STE K-104, LAS VEGAS, NV 89120-3355
(646) 418-4681
Mailing address
3460 E SUNSET RD STE K-104, LAS VEGAS, NV 89120-3355
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
08/10/2021
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