Organization
VEGAS VALLEY PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMA GOMEZ -MITCHELL (OWNER)
(702) 870-8855
Entity
Organization
Contact information
Practice address
5016 ALTA DR, SUITE # 1, LAS VEGAS, NV 89107-3944
(702) 870-8855
(702) 870-8857
Mailing address
5016 ALTA DR, SUITE # 1, LAS VEGAS, NV 89107-3944
(702) 870-8855
(702) 870-8857
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
H1400141B120899
NV
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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