MEDICARE: AARON FAME

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	3747P1801X	Personal Care Attendant
2	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1821599747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON FAME

Provider Business Mailing Address
First Line	:	9979 GOVERNMENT POINT WAY UNIT 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-8047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9979 GOVERNMENT POINT WAY UNIT 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-8047
Country	:	US
Telephone Number	:	702-782-7378
Fax Number	:

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

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	02/26/2018

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Directions to “ AARON FAME ” Practice Location

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