Organization
HIGH CLASS PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR JIMENEZ (ADMINISTRATOR)
(702) 273-6658
Entity
Organization
Contact information
Practice address
5000 W OAKEY BLVD STE E1, LAS VEGAS, NV 89146-3398
(702) 733-2890
(702) 733-4951
Mailing address
5000 W OAKEY BLVD STE E1, LAS VEGAS, NV 89146-3398
(702) 733-2890
(702) 733-4951
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750545000
—
NV
Enumeration date
07/16/2008
Last updated
12/26/2018
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