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NPI Code Detail

MEDICARE: CHRISTOPHER FARLEY

MEDICARE:   CHRISTOPHER  FARLEY
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1023629532
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER FARLEY
Provider Business Mailing Address
First Line : 2110 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5190
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2212 DALE BUMPERS CT
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2679
Country : US
Telephone Number : 213-608-6349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2020
Last Update Date : 08/10/2020

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Directions to “ CHRISTOPHER FARLEY ” Practice Location

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