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NPI Code Detail

MEDICARE: ST MARY'S HOME HEALTH CARE INC

MEDICARE: ST MARY'S HOME HEALTH CARE INC
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 Agency4599HHA1NV

General Provider Information

NPI Number : 1306061080
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST MARY'S HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : 5000 W OAKEY BLVD
Second Line : SUITE A6
City : LAS VEGAS
State : NV
Zip : 89146-3393
Country : US
Telephone Number : 702-248-6900
Fax Number : 702-258-7301
Provider Business Practice Location Address
First Line : 5000 W OAKEY BLVD
Second Line : SUITE A6
City : LAS VEGAS
State : NV
Zip : 89146-3393
Country : US
Telephone Number : 702-248-6900
Fax Number : 702-258-7301
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANGELITA MAGSANOC BALUYUT
Credential :
Telephone Number : 702-248-6900
Provider Enumeration Date : 04/16/2007
Last Update Date : 08/22/2020

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Directions to “ST MARY'S HOME HEALTH CARE INC ” Practice Location

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