Healthcare Provider Details

I. General information

NPI: 1346339371
Provider Name (Legal Business Name): ASIAN PERSONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 02/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 SPRING MOUNTAIN RD STE 221
LAS VEGAS NV
89146-8720
US

IV. Provider business mailing address

5115 SPRING MOUNTAIN RD STE 221
LAS VEGAS NV
89146-8720
US

V. Phone/Fax

Practice location:
  • Phone: 702-784-0888
  • Fax:
Mailing address:
  • Phone: 702-784-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number835080000
License Number StateNV

VIII. Authorized Official

Name: HO LEE
Title or Position: MEMBER
Credential:
Phone: 702-784-0888