MEDICARE: VALERIES CARING HANDS IS ALL ABOUT LOVE

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
1	253Z00000X	In Home Supportive Care Agency	NV20121258794	NV

General Provider Information

NPI Number	:	1558606202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALERIES CARING HANDS IS ALL ABOUT LOVE

Provider Business Mailing Address
First Line	:	9625 W RUSSELL RD
Second Line	:	2094
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4541
Country	:	US
Telephone Number	:	702-639-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	9625 W RUSSELL RD
Second Line	:	2094
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4541
Country	:	US
Telephone Number	:	702-639-7100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VALERIE LEWIS
Credential	:
Telephone Number	:	702-639-7100

Provider Enumeration Date	:	12/06/2012
Last Update Date	:	12/06/2012

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