Organization · NPI-2

Aultrucare LLC

In Home Supportive Care · Henderson, NV

NPI number1316588791
StatusActive
Last updated in NPPESFeb 6, 2020

Details

NPI
1316588791
Entity type
Organization (NPI-2)
Legal business name
Aultrucare LLC
Organization subpart
No
Enumeration date
Oct 7, 2019
Certification date
Feb 6, 2020
Last updated
Feb 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

11500 S Eastern Ave Ste 150
Henderson, NV 89052-5576

Phone 702-848-5564

Mailing address

11500 S Eastern Ave Ste 150
Henderson, NV 89052-5576

Phone 702-848-5564

Authorized official

Timothy Andres
President
7028485564

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