# VEGAS MOON CARE PCA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vegas Light Care PCA LLC, Vegas Moon Care PCA LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720820111
- **Authorized official:** KARIM NASSAR (ADMIN)
- **Authorized official phone:** (702) 832-7921

## Contact information

- **Practice address:** 9976 MILLS REEF CT, LAS VEGAS, NV 89141-8666
- **Practice address phone:** (702) 832-7921
- **Mailing address:** 9976 MILLS REEF CT, LAS VEGAS, NV 89141-8666
- **Mailing address phone:** (702) 832-7921

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2024
- **Last updated:** 06/07/2024