# PERSONAL CARE NEVADA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043939861
- **Authorized official:** JESSICA DAVIS (OWNER)
- **Authorized official phone:** (725) 300-0104

## Contact information

- **Practice address:** 6245 HARRISON DR STE 6, LAS VEGAS, NV 89120-4035
- **Practice address phone:** (725) 300-0104
- **Practice address fax:** (725) 300-0446
- **Mailing address:** 6245 HARRISON DR STE 6, LAS VEGAS, NV 89120-4035
- **Mailing address phone:** (725) 300-0104
- **Mailing address fax:** (725) 300-0446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2022
- **Last updated:** 08/24/2022