Organization
THE PROMISE FOSTERCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNASSA WILLIAMS (MANAGER)
(702) 655-5332
Entity
Organization
Contact information
Practice address
6008 FLY FISHER ST, LAS VEGAS, NV 89113-1728
(702) 655-5332
Mailing address
6008 FLY FISHER ST, LAS VEGAS, NV 89113-1728
(702) 655-5332
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
NV
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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