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NPI Code Detail

MEDICARE: FAMILY PERSONAL CARE, LLC

MEDICARE: FAMILY PERSONAL CARE, LLC
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
1253Z00000XIn Home Supportive Care AgencyNV20111669090NV

General Provider Information

NPI Number : 1861806408
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY PERSONAL CARE, LLC
Provider Business Mailing Address
First Line : 2415 REYNOLDS AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7278
Country : US
Telephone Number : 702-906-1999
Fax Number : 702-906-1998
Provider Business Practice Location Address
First Line : 2415 REYNOLDS AVE STE 101
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7279
Country : US
Telephone Number : 702-906-1999
Fax Number : 702-906-1998
Authorized Official
Title or Position : MANGING MANAGER
Name : JUAN ALBERTO AVILA
Credential :
Telephone Number : 702-906-1999
Provider Enumeration Date : 06/11/2014
Last Update Date : 09/13/2019

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Directions to “FAMILY PERSONAL CARE, LLC ” Practice Location

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