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Organization
LAS VEGAS PERSONAL CARE
Active
Organization
LAS VEGAS PERSONAL CARE
Active
Other names
Las Vegas HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
YANISEL BENITEZ (MANAGER)
(702) 972-2246
Entity
Organization
Contact information
Practice address
4350 ARVILLE ST STE 40, LAS VEGAS, NV 89103-3811
(702) 202-3184
(702) 202-3587
Mailing address
4350 ARVILLE ST STE 200, LAS VEGAS, NV 89103-3811
(702) 202-3184
(702) 202-3587
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
1005826609
NV
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790958981
—
NV
Enumeration date
04/08/2008
Last updated
09/03/2021
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