Organization
AVERY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIRO OBA (ADMINISTRATOR)
(702) 416-0611
Entity
Organization
Contact information
Practice address
5660 W FLAMINGO RD STE A, LAS VEGAS, NV 89103-2312
(702) 416-0611
Mailing address
5660 W FLAMINGO RD STE A, LAS VEGAS, NV 89103-2312
(702) 416-0611
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/12/2022
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