Organization
MT CARMEL HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERLA TAGALICUD BAUTISTA (ADMINISTRATOR)
(702) 954-5670
Entity
Organization
Contact information
Practice address
6268 SPRING MOUNTAIN RD STE 110B, LAS VEGAS, NV 89146-8874
(702) 954-5670
(702) 954-5680
Mailing address
6268 SPRING MOUNTAIN RD STE 110B, LAS VEGAS, NV 89146-8874
(702) 954-5670
(702) 954-5680
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20212274841
NEVADA SECRETARY OF STATE
NV
Enumeration date
01/26/2022
Last updated
01/26/2022
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