Organization
ANTHEM PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORELLY GUMPAL (OWNER)
(702) 285-1185
Entity
Organization
Contact information
Practice address
2801 S VALLEY VIEW BLVD STE 15-B, LAS VEGAS, NV 89102-0116
(702) 285-1185
Mailing address
8120 DOLCE FLORE AVE, LAS VEGAS, NV 89178-8270
(702) 285-1185
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
03/19/2021
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