Individual ProviderSahara GabalesCommunity/Behavioral HealthAgenciesPractice Address2725 S Jones Blvd, Las Vegas, NV 89146-5667(702) 758-2992PECOS EnrollmentBased on the most recent information from CMS, provider Sahara Gabales does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1336660018Provider TypeIndividualFull NameGabales, SaharaTitleMissGenderFemaleSole ProprietorYesEnumeration Date7/3/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address2725 S Jones Blvd, Las Vegas, NV 89146-5667Phone(702) 758-2992FaxUnlisted FaxMailing LocationMailing Address2725 S Jones Blvd, Las Vegas, NV 89146-5667Phone(702) 758-2992FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID81-4890153DescriptionMedicaidIssuerUnlistedNevada