Colonial Home Care

NPI #1780688234 in Las Vegas, Nevada

Provider Information

NPI Number: 1780688234
Entity Type: Organization
Organization Name: Colonial Home Care
Primary Specialty: Home Health
Enumeration Date: Jun 10, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 3530 E FLAMINGO RD
Address 2: STE 270
City: Las Vegas
State: Nevada
ZIP Code: 89121-5092
Phone: (702) 733-8533

Authorized Official

Name: DARRIS CLARK, RN
Title: BUSINESS MANAGER
Phone: (702) 733-8533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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