Amethyst Care Home LLC
NPI #1346809373 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1346809373
- Entity Type
- Organization
- Organization Name
- Amethyst Care Home LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jun 12, 2019
- Last Updated
- Jun 12, 2019
Practice Location
- Address
- 3702 INTERNET AVE
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89031-4160
- Phone
- (702) 702-4854
Authorized Official
- Name
- ROLANDO MANAGO
- Title
- MANAGING MEMBER
- Phone
- (702) 807-7634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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