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1750817441
PROVIDENCE HEALTHCARE OF NEVADA LLC
LAS VEGAS, NV
NPI
1750817441
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Entity Type
Organization
Authorized Contact
GERARD M TABORA
Administrator
702-680-0235
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2017-05-02
Last Update Date
2017-05-02
Business Address
PROVIDENCE HEALTHCARE OF NEVADA LLC
5510 S FORT APACHE RD STE 18
LAS VEGAS, NV 89148-7700
Phone number: 702-680-0235
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Mailing Address
PROVIDENCE HEALTHCARE OF NEVADA LLC
5510 S FORT APACHE RD STE 18
LAS VEGAS, NV 89148-7700
Phone number: 702-680-0235
Copy
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