# NYELLS MEDICAL AND PROFESSIONAL SERVICES

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

## Provider details

- **NPI number:** 1407151830
- **Authorized official:** JACQUELINE CELESS EDWARDS LAB ASSISTANT/CNA/MA (OWNER)
- **Authorized official phone:** (702) 538-8263

## Contact information

- **Practice address:** 4701 LAWRENCE ST UNIT 1138, NORTH LAS VEGAS, NV 89081-4200
- **Practice address phone:** (702) 538-8263
- **Mailing address:** 4701 LAWRENCE ST UNIT 1138, NORTH LAS VEGAS, NV 89081-4200
- **Mailing address phone:** (702) 538-8263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 91545 | NV | Yes |

## Other

- **Enumeration date:** 01/15/2011
- **Last updated:** 01/15/2011