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Organization

KHOREN BARSEGHYAN

Active
Other names
LifeSource Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
KHOREN BARSEGHYAN (ADMINISTRATOR)
(702) 561-7407
Entity
Organization

Contact information

Practice address
3075 GREENBRIAR DR, LAS VEGAS, NV 89121-2405
(702) 333-2344
(702) 960-3046
Mailing address
3075 GREENBRIAR DR, LAS VEGAS, NV 89121-2405
(702) 333-2344
(702) 960-3046

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
8977-PCS-0
NV

Other

Enumeration date
01/23/2018
Last updated
01/23/2018
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