# 1ST ADVANCE HOME CARE

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

## Provider details

- **NPI number:** 1659768745
- **Authorized official:** MS. JOANDRA CORNELIUS-JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (702) 326-8594

## Contact information

- **Practice address:** 6392 MCLEOD DR, SUITE 7, LAS VEGAS, NV 89120-4416
- **Practice address phone:** (702) 795-4357
- **Mailing address:** 6392 MCLEOD DR, SUITE 7, LAS VEGAS, NV 89120-4416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | NV20141435807 | NV | Yes |

## Other

- **Enumeration date:** 04/16/2015
- **Last updated:** 04/16/2015