Organization
TIMELESS INDIVIDUAL RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE SANDERS TROUTMAN (DIRECTOR)
(702) 395-5834
Entity
Organization
Contact information
Practice address
4617 SANTA MONICA AVE, NORTH LAS VEGAS, NV 89032-2831
(702) 395-5834
(702) 645-1020
Mailing address
4617 SANTA MONICA AVE, NORTH LAS VEGAS, NV 89032-2831
(702) 395-5834
(702) 645-1020
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
4279HIC-9
NV
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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