Organization
IMMEDIATE PERSONAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OGBOUMA OKE ULOFOSHIO (PRESIDENT)
(907) 529-1572
Entity
Organization
Contact information
Practice address
2820 W CHARLESTON BLVD STE 8, LAS VEGAS, NV 89102-1929
(702) 586-7431
(702) 586-7260
Mailing address
2560 E SUNSET RD, SUITE 118, LAS VEGAS, NV 89120-3516
(907) 529-1572
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
8227-PCO-0
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8227PCO0
—
NV
Enumeration date
08/22/2016
Last updated
08/20/2019
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