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NPI Code Detail

MEDICARE: ALAGACARE,LLC

MEDICARE: ALAGACARE,LLC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1306300579
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALAGACARE,LLC
Provider Business Mailing Address
First Line : 3920 W CHARLESTON BLVD STE O
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1633
Country : US
Telephone Number : 702-478-5541
Fax Number : 702-915-7664
Provider Business Practice Location Address
First Line : 3920 W CHARLESTON BLVD STE O
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1633
Country : US
Telephone Number : 702-478-5541
Fax Number : 702-915-7664
Authorized Official
Title or Position : EXECUTIVE MANAGER
Name : OLUSOGA OLADIPO ALAGA
Credential :
Telephone Number : 702-478-5541
Provider Enumeration Date : 01/22/2019
Last Update Date : 01/22/2019

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Directions to “ALAGACARE,LLC ” Practice Location

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