Holy Angel Care Home, LLC
Custodial Care Facility, Adult Care Home in North Las Vegas, NV. Organization (NPI-2).
NPI number1578047429
StatusActive
Last updated in NPPESSep 17, 2018
Details
- NPI
- 1578047429
- Entity type
- Organization (NPI-2)
- Legal business name
- Holy Angel Care Home, LLC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2018
- Last updated
- Sep 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
1517 Gentle Brook StNorth Las Vegas, NV 89084-2031
Phone 702-443-1964
Mailing address
1517 Gentle Brook StNorth Las Vegas, NV 89084-2031
Authorized official
Rosalie Aquino
Manager
7024431964
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