Organization
AMIGO PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGEN RODRIQUEZ (OWNER)
(702) 878-4020
Entity
Organization
Contact information
Practice address
5017 ALTA DR, LAS VEGAS, NV 89107-3937
(702) 878-4020
(702) 878-4030
Mailing address
5017 ALTA DR, LAS VEGAS, NV 89107-3937
(702) 878-4020
(702) 878-4030
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
H1496422F128570
NV
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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