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NPI Code Detail

MEDICARE: FUTURE FOUNDATION SERVICES

MEDICARE: FUTURE FOUNDATION 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
2302F00000XExclusive Provider Organization

Other Identifiers

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

General Provider Information

NPI Number : 1508228180
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUTURE FOUNDATION SERVICES
Provider Business Mailing Address
First Line : 3230 S BUFFALO RD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117
Country : US
Telephone Number : 702-445-0819
Fax Number :
Provider Business Practice Location Address
First Line : 3230 S BUFFALO RD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117
Country : US
Telephone Number : 702-445-0819
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. FREDIA C RICE
Credential :
Telephone Number : 702-445-0819
Provider Enumeration Date : 03/23/2016
Last Update Date : 03/23/2016

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Directions to “FUTURE FOUNDATION SERVICES ” Practice Location

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