Organization
ELDERCARE SERVICES LV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAISIE MARIEL QUINTOS PASTRANO (OWNER/MANAGER)
(702) 480-9006
Entity
Organization
Contact information
Practice address
4324 THUNDER TWICE ST, LAS VEGAS, NV 89129-6071
(702) 396-1030
(702) 395-5377
Mailing address
4324 THUNDER TWICE ST, LAS VEGAS, NV 89129-6071
(702) 396-1030
(702) 395-5377
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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