Organization
MOLLY BEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY BEAM OTR/L (OCCUPATIONAL THERAPIST)
(702) 379-0559
Entity
Organization
Contact information
Practice address
3039 ANDRETTI LN, HENDERSON, NV 89052-4144
(702) 379-0559
Mailing address
3039 ANDRETTI LN, HENDERSON, NV 89052-4144
(702) 379-0559
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0792
NV
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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