Organization
NEVADA PCA, LLC.
Active
Other names
Nevada PCA
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR JIMENEZ (OWNER)
(702) 273-6658
Entity
Organization
Contact information
Practice address
332 S DECATUR BLVD, LAS VEGAS, NV 89107-2804
(702) 665-5654
(702) 665-5838
Mailing address
332 S DECATUR BLVD, LAS VEGAS, NV 89107-2804
(702) 665-5654
(702) 665-5838
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NV
Other
Enumeration date
10/03/2015
Last updated
02/20/2019
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