Organization
PACIFIC HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE D PINGUE R.N. (ADMINISTRATOR/VICE-PRESIDENT)
(702) 208-6577
Entity
Organization
Contact information
Practice address
5700 SPRING MOUNTAIN RD, STE M, LAS VEGAS, NV 89146-8860
(702) 208-6577
(702) 243-1818
Mailing address
5700 SPRING MOUNTAIN RD, STE M, LAS VEGAS, NV 89146-8860
(702) 208-6577
(702) 243-1818
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4450HHA-0
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4450HHA-0
STATE OF NEVADA DEPARTMEN
NV
Enumeration date
07/24/2007
Last updated
07/24/2007
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