# VEGAS SENIOR HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vegas Senior Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578046132
- **Authorized official:** MRS. MYONG WOOK KIM (OWNER)
- **Authorized official phone:** (702) 738-0514

## Contact information

- **Practice address:** 1130 SHARON RD, LAS VEGAS, NV 89106-2036
- **Practice address phone:** (702) 738-0514
- **Practice address fax:** (702) 527-7698
- **Mailing address:** 1401 ARVILLE ST STE B, LAS VEGAS, NV 89102-0537
- **Mailing address phone:** (702) 738-0844
- **Mailing address fax:** (702) 527-7698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/10/2018
- **Last updated:** 09/10/2018