Organization
LIFE CARE HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENEDICK CABRERA RN (ASSISTANT ADMINISTRATOR)
(702) 363-9775
Entity
Organization
Contact information
Practice address
3017 W CHARLESTON BLVD STE 15, LAS VEGAS, NV 89102-1927
(702) 363-9775
(702) 363-9776
Mailing address
3017 W CHARLESTON BLVD STE 15, LAS VEGAS, NV 89102-1927
(702) 363-9775
(702) 363-9776
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4603HHA-0
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4603HHA-0
STATE LICENSE NUMBER
NV
Enumeration date
05/04/2007
Last updated
12/14/2011
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