Healthcare Provider Details

I. General information

NPI: 1982387932
Provider Name (Legal Business Name): ARCADIA GARDEN TWAIN ADULT DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 E TWAIN AVE STE 116
LAS VEGAS NV
89169-4026
US

IV. Provider business mailing address

860 E TWAIN AVE STE 116
LAS VEGAS NV
89169-4026
US

V. Phone/Fax

Practice location:
  • Phone: 702-522-7151
  • Fax: 702-522-7680
Mailing address:
  • Phone: 702-522-7151
  • Fax: 702-522-7680

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: CHOUFEN CHAO
Title or Position: OWNER
Credential:
Phone: 702-522-7151