NPI 1043610777

Forever Living Residence Home Care LLC

Organisation Point of Service Las Vegas, NV

Practice location

Address: 1608 Aztec Way, Las Vegas, NV 89169-3168
Phone: (702) 331-1695

Authorised official

Name: Virginia Escobar
Title: Owner
Phone: (702) 331-1695

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 7507 AGC-0 (NV)

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Registry record

NPI: 1043610777
Entity type: Organization
NPI issued: 29 Aug 2014
Record last updated: 29 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.