Organization
SENIOR SERVICES PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL SALVADOR CARRILLO (MANAGER)
(702) 953-7910
Entity
Organization
Contact information
Practice address
336 S JONES BLVD, SUITE B, LAS VEGAS, NV 89107-2623
(702) 953-7910
(702) 953-2250
Mailing address
336 S JONES BLVD, SUITE B, LAS VEGAS, NV 89107-2623
(702) 953-7910
(702) 953-2250
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
8627-PCS-0
NV
Other
Enumeration date
12/29/2016
Last updated
11/23/2021
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