Organization
ICARE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATASHA S ADEGBORUWA RN, BSN (ADMINISTRATOR)
(702) 485-2377
Entity
Organization
Contact information
Practice address
2411 W CHARLESTON BLVD, ST 100, LAS VEGAS, NV 89102-2123
(702) 485-2377
(702) 485-2979
Mailing address
2411 W CHARLESTON BLVD, ST 100, LAS VEGAS, NV 89102-2123
(702) 485-2377
(702) 485-2979
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
05/08/2012
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