Organization
MAGNOLIA HOME HEALTH CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA C MOQUETE (ADMINISTRATOR)
(702) 682-9750
Entity
Organization
Contact information
Practice address
49 W KRAFT AVE, N LAS VEGAS, NV 89031-2596
(702) 682-9750
Mailing address
49 W KRAFT AVE, N LAS VEGAS, NV 89031-2596
(702) 682-9750
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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