My Family Home Health LLC
Home Health in Las Vegas, NV. Organization (NPI-2).
NPI number1164036968
StatusActive
Last updated in NPPESDec 4, 2020
Details
- NPI
- 1164036968
- Entity type
- Organization (NPI-2)
- Legal business name
- My Family Home Health LLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2020
- Certification date
- Dec 4, 2020
- Last updated
- Dec 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
6785 S Eastern Ave Ste 6Las Vegas, NV 89119-3947
Phone 702-499-0443
Mailing address
17 Vintage Ridge DrLas Vegas, NV 89141-6063
Authorized official
Jade Madison
Administrator
7024990443
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