Lillie Marie Holmes
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1497411706
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1497411706
- Entity type
- Individual (NPI-1)
- Name
- Lillie Marie Holmes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2021
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
1000 S Valley View Blvd Fl 2Las Vegas, NV 89107-4448
Phone 800-806-8885
Mailing address
1000 S Valley View Blvd Fl 2Las Vegas, NV 89107-4448
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