Organization
LA BUENA VIDA HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILLIO GONZALEZ (OWNER)
(725) 222-9424
Entity
Organization
Contact information
Practice address
2820 W CHARLESTON BLVD # D40, LAS VEGAS, NV 89102-1942
(725) 222-9424
Mailing address
2820 W CHARLESTON BLVD # D40, LAS VEGAS, NV 89102-1942
(725) 222-9424
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
06/26/2023
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