Organization
PRINCESS PERSONAL CARE , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OYIBO IGBOAMAZU (ADMINISTRATOR)
(702) 327-9012
Entity
Organization
Contact information
Practice address
4640 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1503
(702) 822-1400
Mailing address
4640 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1503
(702) 822-1400
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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