Organization
ALFA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA Y NUNEZ (ADMINISTRATOR)
(702) 822-2655
Entity
Organization
Contact information
Practice address
820 RANCHO LN STE 40, LAS VEGAS, NV 89106-3806
(702) 822-2655
Mailing address
820 RANCHO LN STE 40, LAS VEGAS, NV 89106-3806
(702) 822-2655
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1401315949
DRIVER LICENSE
NV
Enumeration date
07/15/2019
Last updated
10/18/2019
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