Organization
CPR247
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA YAMAUCHI (CEO)
(702) 619-6666
Entity
Organization
Contact information
Practice address
2510 E SUNSET RD, 5-568, LAS VEGAS, NV 89120-3511
(702) 619-6666
Mailing address
2510 E SUNSET RD, 5-568, LAS VEGAS, NV 89120-3511
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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