Amethyst Care Home LLC
Custodial Care Facility, Adult Care Home in North Las Vegas, NV. Organization (NPI-2).
NPI number1346809373
StatusActive
Last updated in NPPESJun 12, 2019
Details
- NPI
- 1346809373
- Entity type
- Organization (NPI-2)
- Legal business name
- Amethyst Care Home LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2019
- Last updated
- Jun 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
3702 Internet AveNorth Las Vegas, NV 89031-4160
Phone 702-702-4854
Mailing address
4150 Cackling Goose DrNorth Las Vegas, NV 89084-2650
Phone 702-807-7634
Authorized official
Rolando Manago
Managing Member
7028077634
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