Organization
LAS DOS AGUAS HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MARTINEZ DE VILLADA (CEO)
(702) 980-5000
Entity
Organization
Contact information
Practice address
3376 S EASTERN AVE, STE. 188-A, LAS VEGAS, NV 89169-3380
(702) 980-5000
(702) 463-2200
Mailing address
3376 S EASTERN AVE, STE. 188-A, LAS VEGAS, NV 89169-3380
(702) 980-5000
(702) 463-2200
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
8559-PCS-0
NV
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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