Organization
COLONIAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIS CLARK RN (BUSINESS MANAGER)
(702) 733-8533
Entity
Organization
Contact information
Practice address
3530 E FLAMINGO RD, STE 270, LAS VEGAS, NV 89121-5092
(702) 733-8533
(702) 733-8498
Mailing address
3530 E FLAMINGO RD, STE 270, LAS VEGAS, NV 89121-5092
(702) 733-8533
(702) 733-8498
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
524HHA-10
NV
Other
Enumeration date
06/10/2005
Last updated
08/22/2020
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