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NPI Code Detail

MEDICARE: MARYLOU HOLLIDAY

MEDICARE:   MARYLOU  HOLLIDAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore Provider
2372600000XAdult Companion
33747A0650XAttendant Care Provider
4376J00000XHomemaker
53747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1295221380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYLOU HOLLIDAY
Provider Business Mailing Address
First Line : 2800 S LAMB BLVD SPC 96
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-1814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : ADVANCED HOME HEALTH CARE
Second Line : 2860 E FLAMINGO RD. STE C
City : LAS VEGAS
State : NV
Zip : 89121
Country : US
Telephone Number : 702-562-3355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2018
Last Update Date : 12/14/2025

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Directions to “ MARYLOU HOLLIDAY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.