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29D2232350 CLIA NUMBER - MANNA HOME HEALTH LLC

Laboratory Demographics

CLIA Number: 29D2232350

Facility Name: MANNA HOME HEALTH LLC

Facility Address:
5000 W OAKEY BLVD STE B8
LAS VEGAS, NV
ZIP 89146
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Facility Phone Number: 702 202-6158

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1841809472

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 29D2232350
LAB Type Home Health Agency
Facility Name MANNA HOME HEALTH LLC
Street 5000 W OAKEY BLVD STE B8
City LAS VEGAS
State NV
ZIP 89146
Phone 702 202-6158
CertificateType 4
CertificateEffectiveDate 8/12/2023
CertificateExpirationDate 8/11/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024