# APPOLONIA RESIDENTIAL LIVING

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

## Provider details

- **NPI number:** 1386995751
- **Authorized official:** SHAMEKA DAVIS (PRESIDENT)
- **Authorized official phone:** (317) 331-7981

## Contact information

- **Practice address:** 5336 LAQUINTA HILLS ST, NORTH LAS VEGAS, NV 89081
- **Practice address phone:** (317) 331-7981
- **Mailing address:** 5336 LAQUINTA HILLS ST, NORTH LAS VEGAS, NV 89081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 09/26/2012