Mimi'S Care Home, LLC
Assisted Living Facility in Las Vegas, NV. Organization (NPI-2).
NPI number1184111007
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1184111007
- Entity type
- Organization (NPI-2)
- Legal business name
- Mimi'S Care Home, LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2018
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
3055 S Pioneer WayLas Vegas, NV 89117-3244
Phone 702-767-5220
Mailing address
3055 S Pioneer WayLas Vegas, NV 89117-3244
Phone 702-767-5220
Authorized official
Mimi Asfaw
Managing Member
7027675220
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