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Organization
VEGAS SENIOR HOME CARE LLC
Active
Organization
VEGAS SENIOR HOME CARE LLC
Active
Other names
Vegas Senior Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYONG WOOK KIM (OWNER)
(702) 738-0514
Entity
Organization
Contact information
Practice address
1130 SHARON RD, LAS VEGAS, NV 89106-2036
(702) 738-0514
(702) 527-7698
Mailing address
1401 ARVILLE ST STE B, LAS VEGAS, NV 89102-0537
(702) 738-0844
(702) 527-7698
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
320700000X
Physical Disabilities Residential Treatment Facility
—
NULL
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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