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NPI Code Detail

MEDICARE: ALBA'S ROSE PERSONAL CARE AGENCY

MEDICARE: ALBA'S ROSE PERSONAL CARE AGENCY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1366028193
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBA'S ROSE PERSONAL CARE AGENCY
Provider Business Mailing Address
First Line : 3650 S EASTERN AVE # 100-K
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3379
Country : US
Telephone Number : 702-843-8945
Fax Number :
Provider Business Practice Location Address
First Line : 3650 S EASTERN AVE # 100-K
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3379
Country : US
Telephone Number : 702-843-8945
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SANDRA PAMELA CASTRO
Credential : CERTIFIED PCA
Telephone Number : 702-843-8945
Provider Enumeration Date : 03/22/2021
Last Update Date : 03/22/2021

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Directions to “ALBA'S ROSE PERSONAL CARE AGENCY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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