Whalio Doctors

NPI 1306242359

Eldercare Services Lv LLC

Organisation Exclusive Provider Organization Las Vegas, NV

Practice location

Address
4324 Thunder Twice St, Las Vegas, NV 89129-6071
Phone
(702) 396-1030
Fax
(702) 395-5377

Authorised official

Name
Maisie Mariel Quintos Pastrano
Title
Owner/Manager
Phone
(702) 480-9006

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X

Registry record

NPI
1306242359
Entity type
Organization
NPI issued
18 Nov 2014
Record last updated
18 Nov 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.