# LAURELWOOD GROUP HOME, LLC

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

## Provider details

- **NPI number:** 1669215539
- **Authorized official:** GORAN BEKIROV (MANAGING MEMBER)
- **Authorized official phone:** (702) 580-5123

## Contact information

- **Practice address:** 4752 TORRENCE DR, LAS VEGAS, NV 89103-4336
- **Practice address phone:** (702) 580-5123
- **Practice address fax:** (702) 570-5785
- **Mailing address:** 4752 TORRENCE DR, LAS VEGAS, NV 89103-4336
- **Mailing address phone:** (702) 580-5123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2024
- **Last updated:** 06/17/2024