Organization
ST AGATHA HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMELDA SERRANO REGISTERED NURSE (ADMINISTRATOR)
(702) 970-1448
Entity
Organization
Contact information
Practice address
2907 IRIS DR, ANCHORAGE, AK 99517-3288
(702) 970-1448
Mailing address
2029 THAMES VIEW ST, HENDERSON, NV 89044-0357
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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