Organization
ADULT CARE HOME LLC
Active
Other names
Adult Comfort and Care Home 2
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARPAL K PANNU (PRESIDENT)
(702) 769-5951
Entity
Organization
Contact information
Practice address
10315 QUEENSBURY AVE, LAS VEGAS, NV 89135-2132
(702) 629-4663
(702) 818-4663
Mailing address
11838 COGOLETO AVE, LAS VEGAS, NV 89138-4687
(702) 769-5951
(702) 818-4663
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005059025
—
NV
Enumeration date
12/13/2019
Last updated
12/15/2019
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