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NPI Code Detail

MEDICARE: FACES INC

MEDICARE: FACES INC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1629499652
Entity Type Code : Organization
Provider Name (Legal Business Name) : FACES INC
Provider Business Mailing Address
First Line : 3065 N RANCHO DR STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3355
Country : US
Telephone Number : 702-868-6365
Fax Number : 702-868-6366
Provider Business Practice Location Address
First Line : 3065 N RANCHO DR STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3355
Country : US
Telephone Number : 702-868-6365
Fax Number : 702-868-6366
Authorized Official
Title or Position : PRESIDENT
Name : MISS DREANA L SWEENYE
Credential : MB A, QMHA
Telephone Number : 702-868-6365
Provider Enumeration Date : 12/17/2013
Last Update Date : 12/17/2013

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Directions to “FACES INC ” Practice Location

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