# PRINCESS PERSONAL CARE , LLC

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

## Provider details

- **NPI number:** 1861996324
- **Authorized official:** OYIBO IGBOAMAZU (ADMINISTRATOR)
- **Authorized official phone:** (702) 327-9012

## Contact information

- **Practice address:** 4640 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1503
- **Practice address phone:** (702) 822-1400
- **Mailing address:** 4640 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1503
- **Mailing address phone:** (702) 822-1400

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2018
- **Last updated:** 03/20/2018