Timeless Individual Residential Care
Custodial Care Facility, Adult Care Home in North Las Vegas, NV. Organization (NPI-2).
NPI number1942665922
StatusActive
Last updated in NPPESDec 17, 2015
Details
- NPI
- 1942665922
- Entity type
- Organization (NPI-2)
- Legal business name
- Timeless Individual Residential Care
- Organization subpart
- No
- Enumeration date
- Dec 17, 2015
- Last updated
- Dec 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 4279HIC-9 | NV | Yes |
Practice location
4617 Santa Monica AveNorth Las Vegas, NV 89032-2831
Phone 702-395-5834 · Fax 702-645-1020
Mailing address
4617 Santa Monica AveNorth Las Vegas, NV 89032-2831
Phone 702-395-5834 · Fax 702-645-1020
Authorized official
Carrie Sanders Troutman
Director
7023955834
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