Organization
HANNAXAVY HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LYNN AGBOR (OWNER)
(702) 426-7303
Entity
Organization
Contact information
Practice address
4025 GASTER AVE, NORTH LAS VEGAS, NV 89081-6697
(702) 426-7303
Mailing address
4025 GASTER AVE, NORTH LAS VEGAS, NV 89081-6697
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NV20101200949
NV
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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