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Organization
LV PERSONAL CARE, LTD
Active
Organization
LV PERSONAL CARE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JONATHAN CRUZ (ADMINISTRATOR)
(702) 405-6811
Entity
Organization
Contact information
Practice address
4550 W OAKEY BLVD STE 101A, LAS VEGAS, NV 89102-1506
(702) 518-2312
(702) 514-4189
Mailing address
4550 W OAKEY BLVD STE 101A, LAS VEGAS, NV 89102-1506
(702) 518-2312
(702) 514-4189
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
12/28/2018
Last updated
11/04/2021
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