Organization
4 LIFE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VAN (OWNER/PRESIDENT)
(702) 493-9650
Entity
Organization
Contact information
Practice address
8985 S EASTERN AVE STE 100, LAS VEGAS, NV 89123-4852
(702) 493-9650
Mailing address
8985 S EASTERN AVE STE 100, LAS VEGAS, NV 89123-4852
(702) 493-9650
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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