MEDICARE: CANDACE LENORA TOWNSEND

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	374U00000X	Home Health Aide
2	251C00000X	Developmentally Disabled Services Day Training Agency		NV

General Provider Information

NPI Number	:	1558121863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDACE LENORA TOWNSEND

Provider Business Mailing Address
First Line	:	3434 BELLA VALENCIA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3522
Country	:	US
Telephone Number	:	702-756-4361
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 BELLA VALENCIA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3522
Country	:	US
Telephone Number	:	702-756-4361
Fax Number	:

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

Provider Enumeration Date	:	03/21/2024
Last Update Date	:	03/21/2024

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Directions to “ CANDACE LENORA TOWNSEND ” Practice Location

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