Organization
HOMEBASE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES MALINIS (CREDENTIALING SPECIALIST)
(702) 410-7825
Entity
Organization
Contact information
Practice address
3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
(702) 410-7825
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
02/04/2019
Last updated
02/05/2019
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