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NPI Code Detail

MEDICARE: FAITH SHARI ADULT CARE II

MEDICARE: FAITH SHARI ADULT CARE II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320700000XPhysical Disabilities Residential Treatment FacilityNV20111151465NV

General Provider Information

NPI Number : 1023437100
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAITH SHARI ADULT CARE II
Provider Business Mailing Address
First Line : 6215 E OWENS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-1802
Country : US
Telephone Number : 702-856-6443
Fax Number :
Provider Business Practice Location Address
First Line : 6215 E OWENS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-1802
Country : US
Telephone Number : 702-856-6443
Fax Number :
Authorized Official
Title or Position : RFA/OWNER
Name : FAITH SHARI RAMOS
Credential : RFA
Telephone Number : 702-856-6443
Provider Enumeration Date : 04/16/2014
Last Update Date : 04/16/2014

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Directions to “FAITH SHARI ADULT CARE II ” Practice Location

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