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Organization

AGAVE SPECIALTY CARE, LLC

Active
Other names
Agave Specialty Care
Organization subpart
No

Provider details

NPI number
Authorized official
HOMER SIMS (OWNER)
(702) 350-6300
Entity
Organization

Contact information

Practice address
3335 RAWHIDE ST, LAS VEGAS, NV 89120-1933
(725) 204-9005
(702) 268-8925
Mailing address
2714 DUCK POND CT, HENDERSON, NV 89074-1915

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
311ZA0620X
Adult Care Home Facility

Other

Enumeration date
12/07/2024
Last updated
04/03/2025
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