Organization
ALTERNATIVE CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANYVILL RUIZ (OWNER)
(702) 301-8862
Entity
Organization
Contact information
Practice address
4504 LA ROCA CIR, LAS VEGAS, NV 89121-6416
(702) 912-4744
(702) 912-4744
Mailing address
4504 LA ROCA CIR, LAS VEGAS, NV 89121-6416
(702) 912-4744
(702) 912-4744
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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