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Organization

FOREVER LIVING RESIDENCE HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINIA ESCOBAR (OWNER)
(702) 331-1695
Entity
Organization

Contact information

Practice address
1608 AZTEC WAY, LAS VEGAS, NV 89169-3168
(702) 331-1695
Mailing address
1608 AZTEC WAY, LAS VEGAS, NV 89169-3168
(702) 331-1695

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
7507 AGC-0
NV

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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