# NORTH LAS VEGAS PERSONAL CARE, LLC

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

## Provider details

- **NPI number:** 1821630401
- **Authorized official:** SAI MACKIE (MANAGING MEMBER)
- **Authorized official phone:** (702) 444-7624

## Contact information

- **Practice address:** 3050 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-6025
- **Practice address phone:** (702) 444-7624
- **Mailing address:** 3050 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-6025
- **Mailing address phone:** (702) 444-7624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2019
- **Last updated:** 10/15/2019