Organization
SAINT JUDE ASSOCIATES LLC
Active
Other names
Saint Jude Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY MARION ASUNCION MANALO RN (DIRECTOR)
(702) 945-8885
Entity
Organization
Contact information
Practice address
4412 W CHARLESTON BLVD STE B, LAS VEGAS, NV 89102-1636
(702) 476-8509
Mailing address
4412 W CHARLESTON BLVD STE B, LAS VEGAS, NV 89102-1636
(702) 476-8509
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20201968454
NEVADA STATE BUSINESS LICENSE
NV
Enumeration date
07/10/2021
Last updated
07/10/2021
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