Organization
AVERY HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRO OBA (ADMINISTRATOR)
(702) 720-8304
Entity
Organization
Contact information
Practice address
6767 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89146-9004
(702) 720-8304
Mailing address
6767 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89146-9004
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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