Individual
MARIE BACIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 S EASTERN AVE STE 1, LAS VEGAS, NV 89119-3949
(702) 331-6200
(702) 331-6201
Mailing address
754 FONTAYNE AVE, LAS VEGAS, NV 89123-7433
(702) 609-6476
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NV
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
Primary
—
NV
3747P1801X
Personal Care Attendant
—
NV
376J00000X
Homemaker
—
NV
385H00000X
Respite Care
—
NV
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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