PROVIDENCE HEALTHCARE OF NEVADA LLC

LAS VEGAS, NV
NPI1750817441
Entity TypeOrganization
Authorized ContactGERARD M TABORA
Administrator
702-680-0235
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2017-05-02
Last Update Date2017-05-02
Business Address
PROVIDENCE HEALTHCARE OF NEVADA LLC
5510 S FORT APACHE RD STE 18
LAS VEGAS, NV 89148-7700
Phone number: 702-680-0235
Mailing Address
PROVIDENCE HEALTHCARE OF NEVADA LLC
5510 S FORT APACHE RD STE 18
LAS VEGAS, NV 89148-7700
Phone number: 702-680-0235
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