| NPI | 1164920336 |
|---|---|
| Doing Business As | LIFESOURCE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | KHOREN BARSEGHYAN Administrator 702-561-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV 8977-PCS-0) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |