Organization
AA PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSANDRA EDITH ALFARO (OWNER)
(702) 619-4925
Entity
Organization
Contact information
Practice address
5020 ALTA DR STE B, LAS VEGAS, NV 89107-3940
(725) 600-7953
(702) 664-6933
Mailing address
5020 ALTA DR STE B, LAS VEGAS, NV 89107-3940
(725) 600-7953
(702) 664-6933
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NV20151102942
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689031965
—
NV
Enumeration date
04/05/2016
Last updated
04/05/2016
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