MEDICARE: INFINITY FAMILY SERVICES LLC

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

General Provider Information

NPI Number	:	1922438670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY FAMILY SERVICES LLC

Provider Business Mailing Address
First Line	:	8926 RUTHERFORD GROVE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4933
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8926 RUTHERFORD GROVE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4933
Country	:	US
Telephone Number	:	702-544-6505
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. CHARLES ORR III
Credential	:
Telephone Number	:	702-544-6505

Provider Enumeration Date	:	11/16/2013
Last Update Date	:	11/16/2013

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Directions to “INFINITY FAMILY SERVICES LLC ” Practice Location

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