Organization
A & J CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN MONTALES TIMBOL (BILLER)
(702) 755-9833
Entity
Organization
Contact information
Practice address
5217 W GOWAN RD, LAS VEGAS, NV 89130-3118
(702) 645-2291
Mailing address
5217 W GOWAN RD, LAS VEGAS, NV 89130-3118
(702) 645-2291
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
49AGC-12
NV
Other
Enumeration date
06/01/2007
Last updated
06/13/2008
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