Organization
FOREVER LIVING RESIDENCE HOME CARE LLC
Active
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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