Organization
FAMILY PERSONAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN A AVILA (MANAGER)
(702) 906-1999
Entity
Organization
Contact information
Practice address
4550 W OAKEY BLVD STE 108A, LAS VEGAS, NV 89102-1506
(702) 906-1999
Mailing address
4550 W OAKEY BLVD STE 108A, LAS VEGAS, NV 89102-1506
(702) 906-1999
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8062PCS3
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801247952
NPPES
NV
01
—
1861806408
NPPES
NV
Enumeration date
08/16/2016
Last updated
08/16/2016
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