Devonee'S Heart & Soul Healthcare LLC
In Home Supportive Care in Las Vegas, NV. Organization (NPI-2).
NPI number1164033585
StatusActive
Last updated in NPPESAug 10, 2020
Details
- NPI
- 1164033585
- Entity type
- Organization (NPI-2)
- Legal business name
- Devonee'S Heart & Soul Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2020
- Certification date
- Aug 10, 2020
- Last updated
- Aug 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
5000 W Oakey Blvd Ste A3-4Las Vegas, NV 89146-0391
Phone 702-690-6984
Mailing address
5000 W Oakey Blvd Ste A3-4Las Vegas, NV 89146-0391
Phone 702-690-6984
Authorized official
Shalonda Jenkins
Administrator
7026906984
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