MEDICARE: ADVANCED HEALTH SERVICES

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1144615394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEALTH SERVICES

Provider Business Mailing Address
First Line	:	3234 WEBER CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5762
Country	:	US
Telephone Number	:	702-445-1360
Fax Number	:	702-701-9131

Provider Business Practice Location Address
First Line	:	3234 WEBER CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-5762
Country	:	US
Telephone Number	:	702-445-1360
Fax Number	:	702-701-9131

Authorized Official
Title or Position	:	OWNER
Name	:	D' ANA S HERNANDEZ
Credential	:	QBA
Telephone Number	:	702-445-1360

Provider Enumeration Date	:	04/04/2015
Last Update Date	:	07/21/2022

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1609416296 — ADEOLA SERIFAT ADEBAYO
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Directions to “ADVANCED HEALTH SERVICES ” Practice Location

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