MEDICARE: ARCADIA GARDEN TWAIN ADULT DAYCARE

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
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1982387932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCADIA GARDEN TWAIN ADULT DAYCARE

Provider Business Mailing Address
First Line	:	860 E TWAIN AVE STE 116
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-4026
Country	:	US
Telephone Number	:	702-522-7151
Fax Number	:	702-522-7680

Provider Business Practice Location Address
First Line	:	860 E TWAIN AVE STE 116
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-4026
Country	:	US
Telephone Number	:	702-522-7151
Fax Number	:	702-522-7680

Authorized Official
Title or Position	:	OWNER
Name	:	CHOUFEN CHAO
Credential	:
Telephone Number	:	702-522-7151

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/17/2023

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