Organization
GOOD SAMARITAN HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA VANDEVENTER RN (OWNER/ ADMINISTRATOR)
(702) 525-5653
Entity
Organization
Contact information
Practice address
4550 W OAKEY BLVD STE 111-H, LAS VEGAS, NV 89102-1581
(725) 204-0355
(702) 852-0662
Mailing address
4550 W OAKEY BLVD STE 111-H, LAS VEGAS, NV 89102-1581
(725) 204-0355
(702) 852-0662
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
03/10/2022
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