Organization
ADVANCED VITAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PAUL CROCKETT (PRESIDENT)
(702) 262-5500
Entity
Organization
Contact information
Practice address
4020 W ALI BABA LN, SUITE D, LAS VEGAS, NV 89118-1670
(702) 262-5500
(702) 262-9997
Mailing address
4020 W ALI BABA LN, SUITE D, LAS VEGAS, NV 89118-1670
(702) 262-5500
(702) 262-9997
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3731HHA-3
NV
Other
Enumeration date
10/12/2005
Last updated
08/22/2020
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