Healthcare Provider Details

I. General information

NPI: 1316100845
Provider Name (Legal Business Name): UNITY FAMILY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3985 W CHEYENNE AVE SUITE 306
NORTH LAS VEGAS NV
89032-8906
US

IV. Provider business mailing address

3985 W CHEYENNE AVE SUITE 306
NORTH LAS VEGAS NV
89032-8906
US

V. Phone/Fax

Practice location:
  • Phone: 702-633-7570
  • Fax: 702-646-5368
Mailing address:
  • Phone: 702-633-7570
  • Fax: 702-646-5368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License NumberGF-125402113-0001
License Number StateNV

VIII. Authorized Official

Name: MS. TAMI VERNETTE BASS
Title or Position: EXECUTIVE DIRECTOR
Credential: JD
Phone: 702-349-7331