Healthcare Provider Details

I. General information

NPI: 1275197881
Provider Name (Legal Business Name): LONA ENTERPRISES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2019
Last Update Date: 04/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5544 SURREY ST
LAS VEGAS NV
89119-2855
US

IV. Provider business mailing address

8514 LAMBERT DR
LAS VEGAS NV
89147-5267
US

V. Phone/Fax

Practice location:
  • Phone: 702-597-4697
  • Fax:
Mailing address:
  • Phone: 702-876-4054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL NAIDAS
Title or Position: SECRETARY
Credential:
Phone: 702-281-3872