# LAS DOS AGUAS HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Las Dos Aguas Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760958995
- **Authorized official:** EDGAR JIMENEZ (ADMINISTRATOR)
- **Authorized official phone:** (702) 273-6658

## Contact information

- **Practice address:** 4525 S SANDHILL RD STE 110, LAS VEGAS, NV 89121-5955
- **Practice address phone:** (725) 204-7452
- **Practice address fax:** (702) 463-2200
- **Mailing address:** 4525 S SANDHILL RD STE 110, LAS VEGAS, NV 89121-5955
- **Mailing address phone:** (725) 204-7452
- **Mailing address fax:** (702) 463-2200

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 03/18/2022