Healthcare Provider Details
I. General information
NPI: 1639507452
Provider Name (Legal Business Name): UFCS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/15/2013
Last Update Date: 10/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3840 N COMMERCE ST SUITE 100
NORTH LAS VEGAS NV
89032-8104
US
IV. Provider business mailing address
3840 N COMMERCE ST SUITE 100
NORTH LAS VEGAS NV
89032-8104
US
V. Phone/Fax
- Phone: 702-649-5995
- Fax: 702-399-9801
- Phone: 702-649-5995
- Fax: 702-399-9801
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ANTHONY
D
SNOWDEN
Title or Position: DIRECTOR
Credential:
Phone: 702-649-5995