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NPI Code Detail

MEDICARE: JOEY SANTOS

MEDICARE: JOEY SANTOS
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
1372500000XChore Provider
2372600000XAdult Companion
33747P1801XPersonal Care Attendant
4376J00000XHomemaker
53747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1093214595
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEY SANTOS
Provider Business Mailing Address
First Line : PO BOX 1275
Second Line :
City : MESQUITE
State : NV
Zip : 89024-1275
Country : US
Telephone Number : 702-510-7393
Fax Number :
Provider Business Practice Location Address
First Line : 550 W PIONEER BLVD STE 204
Second Line :
City : MESQUITE
State : NV
Zip : 89027-1406
Country : US
Telephone Number : 702-345-4065
Fax Number : 702-345-4077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2018
Last Update Date : 02/09/2018

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Directions to “ JOEY SANTOS ” Practice Location

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