Organization
MED-STAFF HOME HEALTH LV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID THARENOS (OWNER)
(314) 997-3399
Entity
Organization
Contact information
Practice address
1525 W WARM SPRINGS RD, #410, HENDERSON, NV 89014-4315
(702) 731-6800
(702) 731-0800
Mailing address
11901 OLIVE BLVD, #217, SAINT LOUIS, MO 63141-6736
(314) 997-3399
(314) 993-5848
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4455HHA-1
NV
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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