Provider Demographics
NPI:1952170763
Name:1ST LOVE AND LIFE CAREGIVERS, LLC
Entity Type:Organization
Organization Name:1ST LOVE AND LIFE CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ VILLAFRANCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-463-7779
Mailing Address - Street 1:2770 S MARYLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1554
Mailing Address - Country:US
Mailing Address - Phone:702-463-7779
Mailing Address - Fax:
Practice Address - Street 1:2770 S MARYLAND PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1554
Practice Address - Country:US
Practice Address - Phone:702-463-7779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty