# FOREVER LIVING RESIDENCE HOME CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1891239786
- **Authorized official:** VIRGINIA ESCOBAR (OWNER)
- **Authorized official phone:** (702) 331-1695

## Contact information

- **Practice address:** 1608 AZTEC WAY, LAS VEGAS, NV 89169-3168
- **Practice address phone:** (702) 990-1624
- **Mailing address:** 1608 AZTEC WAY, LAS VEGAS, NV 89169-3168
- **Mailing address phone:** (702) 990-1624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 7507 AGC-6 | NV | Yes |

## Other

- **Enumeration date:** 12/12/2016
- **Last updated:** 12/12/2016