Individual provider · Type 1 NPI

Licet Lopez Rodriguez

Attendant Care Provider · Las Vegas, NV

NPI number 1386252302 Active

Practice location

2350 S Jones Blvd
Las Vegas, NV 89146-3103

Call (702) 510-9982 Map

Mailing address

8236 Ten Gallon Ct
Las Vegas, NV 89129-6826

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1386252302

Licet Lopez Rodriguez's National Provider Identifier is 1386252302, issued on Jul 15, 2020. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 15, 2020.