Organization
NOVA ALL STAR, INC.
Active
Other names
Nova All Star Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN FONTILLAS (PRESIDENT)
(702) 882-7736
Entity
Organization
Contact information
Practice address
5525 ROSE THICKET ST, LAS VEGAS, NV 89130-1653
(702) 882-7736
(702) 633-8928
Mailing address
5525 ROSE THICKET ST, LAS VEGAS, NV 89130-1653
(702) 882-7736
(702) 633-8928
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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