Organization · NPI-2

930, LLC

In Home Supportive Care · Bullhead City, AZ

NPI number1720429582
StatusActive
Last updated in NPPESJul 9, 2013

Details

NPI
1720429582
Entity type
Organization (NPI-2)
Legal business name
930, LLC
Organization subpart
No
Enumeration date
Jul 9, 2013
Last updated
Jul 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • In-Home Caregiving, LLC (Doing Business As)

Practice location

3003 Highway 95 Ste 39
Bullhead City, AZ 86442-7896

Phone 314-406-6136

Mailing address

12601 Woodmont Estates Ct
Des Peres, MO 63131-2151

Phone 314-406-6136

Authorized official

Ndeye Ceesay
Ceo
3144066136

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