MEDICARE: MARLO ARMSTRONG

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
1	251E00000X	Home Health Agency
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1194436113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLO ARMSTRONG

Provider Business Mailing Address
First Line	:	6427 COLLINGSWORTH ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2963
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4554 LIMEKIN CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-2130
Country	:	US
Telephone Number	:	661-754-1374
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2022
Last Update Date	:	01/02/2024

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Directions to “ MARLO ARMSTRONG ” Practice Location

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