Organization
NEVADA PERSONAL CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANIYU SHITTU (PRESIDENT)
(907) 727-4090
Entity
Organization
Contact information
Practice address
6615 S EASTERN AVE # SITE104, LAS VEGAS, NV 89119
(907) 727-4090
(702) 722-6202
Mailing address
P. O. BOX 211706, ANCHORAGE, AK 99521
(907) 727-4090
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7417PCO-5
—
NV
Enumeration date
09/18/2015
Last updated
09/18/2024
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