Organization Name: | NYELLS MEDICAL AND PROFESSIONAL SERVICES |
NPI Number: | 1407151830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE CELESS EDWARDS (OWNER) |
Mailing Address: | 4701 Lawrence St Unit 1138 North Las Vegas |
State: | NV US |
Postal Code: | 890814200 |
Phone Number: | 7025388263 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2011 |
NPI Last Update Date: | 01/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 91545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |