Organization
SOBER HOMIEZ SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL R MARINO (OPERATING MANAGER/MEMBER)
(725) 261-4369
Entity
Organization
Contact information
Practice address
4566 S PECOS RD, LAS VEGAS, NV 89121-5923
(725) 261-4369
(702) 898-8530
Mailing address
4566 S PECOS RD, LAS VEGAS, NV 89121-5923
(725) 261-4369
(702) 898-8530
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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