Organization
ETERNAL HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIYA ROMANOVICH RN (ADMINISTRATOR, DPCS, RN)
(312) 637-0002
Entity
Organization
Contact information
Practice address
6655 W SAHARA AVE STE S-108, LAS VEGAS, NV 89146-0842
(708) 522-8498
Mailing address
6655 W SAHARA AVE STE S-108, LAS VEGAS, NV 89146-0842
(708) 522-8498
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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