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NPI Code Detail

MEDICARE: MANNA HOME CARE

MEDICARE: MANNA HOME CARE
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1538745971
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANNA HOME CARE
Provider Business Mailing Address
First Line : 6437 PEACHWOOD RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4418
Country : US
Telephone Number : 702-542-0405
Fax Number :
Provider Business Practice Location Address
First Line : 6437 PEACHWOOD RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4418
Country : US
Telephone Number : 702-379-9997
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MISS BASHEMA FRANKLIN
Credential : RN
Telephone Number : 702-542-0405
Provider Enumeration Date : 03/23/2021
Last Update Date : 03/25/2021

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Directions to “MANNA HOME CARE ” Practice Location

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