National Provider Identifier Database

BABY BOOMERS ACTIVITIES CLUB II LLC
Adult Day Care


Contact Information

BABY BOOMERS ACTIVITIES CLUB II, LLC
1915 SIMMONS ST
BLD 26
LAS VEGAS, NV89106-1666
Phone: 702-878-9600
Fax:
Website:
Specialty Taxonomy Code
* Adult Day Care 261QA0600X

* Indicates primary specialty

NPI Profile & details for BABY BOOMERS ACTIVITIES CLUB II, LLC

NPI Number 1992159594
Legal business name
LBN
BABY BOOMERS ACTIVITIES CLUB II, LLC
Authorized official KATIUSHKA LOZANO DE POSADA - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 04/20/2016
Last updated 11/08/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: 7787ACD-0

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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