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Organization

HOMEBASE CARE CASAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCES MALINIS (CREDENTIALING SPECIALIST)
(702) 410-7825
Entity
Organization

Contact information

Practice address
5412 BOULDER HWY, LAS VEGAS, NV 89122-6039
(702) 291-7121
Mailing address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 410-7825

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QG0300X
Geriatric Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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