# ANTHEM PERSONAL CARE SERVICES

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

## Provider details

- **NPI number:** 1710449806
- **Authorized official:** LORELLY GUMPAL (OWNER)
- **Authorized official phone:** (702) 285-1185

## Contact information

- **Practice address:** 2801 S VALLEY VIEW BLVD STE 15-B, LAS VEGAS, NV 89102-0116
- **Practice address phone:** (702) 285-1185
- **Mailing address:** 8120 DOLCE FLORE AVE, LAS VEGAS, NV 89178-8270
- **Mailing address phone:** (702) 285-1185

## Taxonomy

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

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 03/19/2021