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NPI Code Detail

MEDICARE: CAPABILITY HEALTH & HUMAN SERVICES

MEDICARE: CAPABILITY HEALTH & HUMAN 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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1245534866
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPABILITY HEALTH & HUMAN SERVICES
Provider Business Mailing Address
First Line : 6200 W OAKEY BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1103
Country : US
Telephone Number : 702-870-7050
Fax Number :
Provider Business Practice Location Address
First Line : 6200 W OAKEY BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1103
Country : US
Telephone Number : 702-870-7050
Fax Number :
Authorized Official
Title or Position : CEO
Name : CHRISTINE ZACK GUNDERSEN
Credential :
Telephone Number : 702-870-7050
Provider Enumeration Date : 12/23/2010
Last Update Date : 10/07/2019

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Directions to “CAPABILITY HEALTH & HUMAN SERVICES ” Practice Location

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