Organization
CONNOLLY CARE HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CONNOLLY (OWNER)
(702) 426-5165
Entity
Organization
Contact information
Practice address
320 E WARM SPRINGS RD STE 2A, LAS VEGAS, NV 89119-4242
(702) 426-5165
Mailing address
2378 VALISSA ST, HENDERSON, NV 89044-0535
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20201834837
BUSINESS LICENSE
NV
Enumeration date
03/27/2021
Last updated
03/27/2021
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