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NPI Code Detail

MEDICARE: CLEAR PATH FAMILY SERVICES, LLC

MEDICARE: CLEAR PATH FAMILY SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1578840716
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEAR PATH FAMILY SERVICES, LLC
Provider Business Mailing Address
First Line : 4424 LOMA CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-5204
Country : US
Telephone Number : 702-373-1651
Fax Number : 702-396-7119
Provider Business Practice Location Address
First Line : 4424 LOMA CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-5204
Country : US
Telephone Number : 702-373-1651
Fax Number : 702-396-7119
Authorized Official
Title or Position : DIRECTOR
Name : MRS. GLORIA J WOOTEN
Credential :
Telephone Number : 702-373-1651
Provider Enumeration Date : 11/15/2011
Last Update Date : 12/19/2013

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Directions to “CLEAR PATH FAMILY SERVICES, LLC ” Practice Location

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