Organization · NPI-2

4 Life Home Care LLC

In Home Supportive Care · Las Vegas, NV

NPI number1932810397
StatusActive
Last updated in NPPESDec 7, 2022

Details

NPI
1932810397
Entity type
Organization (NPI-2)
Legal business name
4 Life Home Care LLC
Organization subpart
No
Enumeration date
Dec 7, 2022
Certification date
Dec 7, 2022
Last updated
Dec 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
3747P1801X Technician, Personal Care Attendant––

Practice location

8985 S Eastern Ave Ste 100
Las Vegas, NV 89123-4852

Phone 702-493-9650

Mailing address

8985 S Eastern Ave Ste 100
Las Vegas, NV 89123-4852

Phone 702-493-9650

Authorized official

Michael Van
Owner/President
7024939650

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