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NPI Code Detail

MEDICARE: PENA FRANCIA HOME HEALTH CARE LLC

MEDICARE: PENA FRANCIA HOME HEALTH CARE LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1174121305
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENA FRANCIA HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 107 E WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4101
Country : US
Telephone Number : 702-202-6039
Fax Number : 702-202-3640
Provider Business Practice Location Address
First Line : 107 E WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4101
Country : US
Telephone Number : 702-202-6039
Fax Number : 702-202-3640
Authorized Official
Title or Position : MANAGING MEMBER
Name : JULIUS CAEZAR HENZON
Credential : RN
Telephone Number : 818-821-2308
Provider Enumeration Date : 10/10/2020
Last Update Date : 08/11/2024

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Directions to “PENA FRANCIA HOME HEALTH CARE LLC ” Practice Location

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