MEDICARE: FUTURE BUILDERS OF AMERICA

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	251S00000X	Community/Behavioral Health Agency		NV

General Provider Information

NPI Number	:	1760936744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTURE BUILDERS OF AMERICA

Provider Business Mailing Address
First Line	:	1810 E SAHARA AVE
Second Line	:	SUITE 205
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3707
Country	:	US
Telephone Number	:	702-324-2126
Fax Number	:

Provider Business Practice Location Address
First Line	:	3085 E FLAMINGO RD
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-4308
Country	:	US
Telephone Number	:	702-324-2126
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CARLOS POLLARD
Credential	:
Telephone Number	:	702-324-2126

Provider Enumeration Date	:	08/08/2016
Last Update Date	:	08/08/2016

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Directions to “FUTURE BUILDERS OF AMERICA ” Practice Location

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