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NPI Code Detail

MEDICARE: MENS ON THE RISE INC

MEDICARE: MENS ON THE RISE 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1871916114
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENS ON THE RISE INC
Provider Business Mailing Address
First Line : 720 W CHEYENNE AVE STE 40
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7817
Country : US
Telephone Number : 702-834-4703
Fax Number :
Provider Business Practice Location Address
First Line : 720 W CHEYENNE AVE STE 40
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7817
Country : US
Telephone Number : 702-834-4703
Fax Number :
Authorized Official
Title or Position : PCA
Name : MR. JOSEPH A ALSTON
Credential :
Telephone Number : 702-834-4703
Provider Enumeration Date : 01/22/2014
Last Update Date : 01/22/2014

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Directions to “MENS ON THE RISE INC ” Practice Location

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