Provider Demographics
NPI:1790489912
Name:ARANGO, MAYELIN ULACIA
Entity Type:Individual
Prefix:
First Name:MAYELIN
Middle Name:ULACIA
Last Name:ARANGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DD PERSONAL CARE LLC
Mailing Address - Street 2:3468 E SAHARA AVE STE 165
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104
Mailing Address - Country:US
Mailing Address - Phone:702-207-0842
Mailing Address - Fax:702-207-0357
Practice Address - Street 1:DD PERSONAL CARE LLC
Practice Address - Street 2:3468 E SAHARA AVE STE 165
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-8910
Practice Address - Country:US
Practice Address - Phone:702-207-0842
Practice Address - Fax:702-207-0357
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider