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Organization
1ST ADVANCE HOME CARE
Active
Organization
1ST ADVANCE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANDRA CORNELIUS-JOHNSON (ADMINISTRATOR)
(702) 326-8594
Entity
Organization
Contact information
Practice address
6392 MCLEOD DR, SUITE 7, LAS VEGAS, NV 89120-4416
(702) 795-4357
Mailing address
6392 MCLEOD DR, SUITE 7, LAS VEGAS, NV 89120-4416
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
NV20141435807
NV
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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