Healthcare Provider Details

I. General information

NPI: 1649434580
Provider Name (Legal Business Name): COMPLETE FAMILY CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W PECKHAM LN STE 2
RENO NV
89509-5460
US

IV. Provider business mailing address

255 W PECKHAM LN STE 2
RENO NV
89509-5460
US

V. Phone/Fax

Practice location:
  • Phone: 775-853-8888
  • Fax:
Mailing address:
  • Phone: 775-853-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NEWTON G YCO
Title or Position: OWNER/PHYSICIAN
Credential: DO
Phone: 775-815-0727