Organization
NORTH LAS VEGAS PERSONAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAI MACKIE (MANAGING MEMBER)
(702) 444-7624
Entity
Organization
Contact information
Practice address
3050 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-6025
(702) 444-7624
Mailing address
3050 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-6025
(702) 444-7624
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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