Organization
SANTA MARIA ADULT DAY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO TAN JR. (ADMINISTRATOR)
(860) 977-3215
Entity
Organization
Contact information
Practice address
625 N LAMB BLVD STE 140, LAS VEGAS, NV 89110-6355
(725) 780-1104
Mailing address
625 N LAMB BLVD STE 140, LAS VEGAS, NV 89110-6355
(725) 780-1104
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
NV
Enumeration date
11/23/2021
Last updated
11/23/2021
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