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Organization

SSM HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA MINCEY (CEO)
(312) 216-9076
Entity
Organization

Contact information

Practice address
4775 S DURANGO DR STE 103, LAS VEGAS, NV 89147-8157
(312) 216-9076
Mailing address
4775 S DURANGO DR STE 103, LAS VEGAS, NV 89147-8157
(312) 216-9076

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
332BC3200X
Customized Equipment (DME)
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care

Other

Enumeration date
04/05/2024
Last updated
01/22/2025
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