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NPI Code Detail

MEDICARE: OUR HOME BY MARGARET

MEDICARE: OUR HOME BY MARGARET
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
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1841079423
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUR HOME BY MARGARET
Provider Business Mailing Address
First Line : 5100 FOGGIA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7072
Country : US
Telephone Number : 631-935-4583
Fax Number :
Provider Business Practice Location Address
First Line : 5100 FOGGIA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7072
Country : US
Telephone Number : 631-935-4583
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MARGARET MILLER
Credential :
Telephone Number : 631-935-4583
Provider Enumeration Date : 09/25/2023
Last Update Date : 09/25/2023

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Directions to “OUR HOME BY MARGARET ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.