Organization
702 CAREGIVERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY SHUKAN (OWNER/ADMINISTRATOR)
(702) 333-1488
Entity
Organization
Contact information
Practice address
2780 S JONES BLVD STE 105B, LAS VEGAS, NV 89146
(702) 333-1488
Mailing address
2780 S JONES BLVD STE 105B, LAS VEGAS, NV 89146-5625
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
08/27/2018
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