Organization
ST JEAN SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ILAGAN ST JEAN (OWNER)
(702) 489-9297
Entity
Organization
Contact information
Practice address
6924 ACOMA CT, LAS VEGAS, NV 89145-5305
(702) 489-9297
Mailing address
6924 ACOMA CT, LAS VEGAS, NV 89145-5305
(702) 489-9297
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
5936AGZ-2
NV
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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