MEDICARE: ALDRIN WOOD

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	372500000X	Chore Provider
2	372600000X	Adult Companion
3	3747A0650X	Attendant Care Provider
4	374U00000X	Home Health Aide	88-1624282	NV
5	376J00000X	Homemaker
6	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164062097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALDRIN WOOD

Provider Business Mailing Address
First Line	:	6725 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-3948
Country	:	US
Telephone Number	:	702-646-2722
Fax Number	:

Provider Business Practice Location Address
First Line	:	8445 LAS VEGAS BLVD S APT 1136
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-6619
Country	:	US
Telephone Number	:	619-549-3927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2020
Last Update Date	:	04/27/2022

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Directions to “ ALDRIN WOOD ” Practice Location

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