# FIRSTLIGHT HOMECARE OF NEVADA

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

## Provider details

- **NPI number:** 1235518754
- **Authorized official:** MR. MIKAL JOSEPH WEATHERHOLT (MANAGER)
- **Authorized official phone:** (702) 470-2500

## Contact information

- **Practice address:** 205 E WARM SPRINGS RD, STE 108, LAS VEGAS, NV 89119-4249
- **Practice address phone:** (702) 470-2500
- **Mailing address:** 205 E WARM SPRINGS RD, STE 108, LAS VEGAS, NV 89119-4249
- **Mailing address phone:** (702) 470-2500

## Taxonomy

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

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 05/29/2015