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NPI Code Detail

MEDICARE: SALUBRITY HOME HEALTH CARE

MEDICARE: SALUBRITY HOME HEALTH 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
1251S00000XCommunity/Behavioral Health AgencyNV20121145588NV

General Provider Information

NPI Number : 1619393030
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALUBRITY HOME HEALTH CARE
Provider Business Mailing Address
First Line : 6259 COPPER LIGHT ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-6408
Country : US
Telephone Number : 702-812-1079
Fax Number :
Provider Business Practice Location Address
First Line : 5135 CAMINO AL NOTRE
Second Line : 287
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2373
Country : US
Telephone Number : 702-812-1079
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. DON C ROBERTS
Credential : QMHA
Telephone Number : 702-812-1019
Provider Enumeration Date : 03/10/2014
Last Update Date : 03/10/2014

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Directions to “SALUBRITY HOME HEALTH CARE ” Practice Location

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