NPI 1144567017

Independence Lifestyles INC

Organisation In Home Supportive Care Agency Henderson, NV

Practice location

Address: 1701 N Green Valley Pkwy Suite 9a, Henderson, NV 89074-5885
Phone: (702) 407-1100
Fax: (702) 614-4783

Authorised official

Name: Jacquelyn Diasio
Title: Owner
Phone: (702) 407-1100

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X Licence 5291PCS-3 (NV)

Other In Home Supportive Care providers in Nevada →

Registry record

NPI: 1144567017
Entity type: Organization
NPI issued: 11 Jan 2013
Record last updated: 11 Jan 2013

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.