Organization
PROFESSIONAL IN-HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLA PELAYO (OWNER/OPERATIONS MANAGER)
(702) 586-2891
Entity
Organization
Contact information
Practice address
739 CAMINO DEL RAY, HENDERSON, NV 89012-2610
(702) 586-2891
Mailing address
739 CAMINO DEL RAY, HENDERSON, NV 89012-2610
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7922PCS-0
NV
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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