Organization
HOLY ANGEL CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE AQUINO (MANAGER)
(702) 443-1964
Entity
Organization
Contact information
Practice address
1517 GENTLE BROOK ST, NORTH LAS VEGAS, NV 89084-2031
(702) 443-1964
Mailing address
1517 GENTLE BROOK ST, NORTH LAS VEGAS, NV 89084-2031
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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