Healthcare Provider Details

I. General information

NPI: 1407288855
Provider Name (Legal Business Name): N & L HOME CARE FACILITIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 08/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5513 FLORA SPRAY ST
LAS VEGAS NV
89130-1697
US

IV. Provider business mailing address

5513 FLORA SPRAY ST
LAS VEGAS NV
89130-1697
US

V. Phone/Fax

Practice location:
  • Phone: 702-658-7744
  • Fax: 702-684-6895
Mailing address:
  • Phone: 702-658-7744
  • Fax: 702-684-6895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number20131382567
License Number StateNV

VIII. Authorized Official

Name: LISSETTE N. DUNN
Title or Position: OWNER
Credential:
Phone: 702-285-9250