Healthcare Provider Details

I. General information

NPI: 1427597376
Provider Name (Legal Business Name): FAMILY TREE HEALTH CARE SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3672 N RANCHO DR
LAS VEGAS NV
89130-3149
US

IV. Provider business mailing address

3672 N RANCHO DR
LAS VEGAS NV
89130-3149
US

V. Phone/Fax

Practice location:
  • Phone: 702-685-1600
  • Fax:
Mailing address:
  • Phone: 702-685-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN OSHI
Title or Position: OWNER
Credential:
Phone: 404-454-9721