Organization
AVANA PERSONAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENESIS S BAUTISTA (ADMINISTRATOR)
(702) 822-2188
Entity
Organization
Contact information
Practice address
4550 W OAKEY BLVD STE 111-R, LAS VEGAS, NV 89102-1581
(702) 821-2288
(702) 447-7122
Mailing address
4550 W OAKEY BLVD # 111-R, LAS VEGAS, NV 89102-1581
(702) 821-2288
(702) 447-7122
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8613-PCS-0
NV
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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