Organization
THERESA FOGAL DBA EAGLES NEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA FOGAL (OWNER)
(775) 852-1078
Entity
Organization
Contact information
Practice address
4310 TORO CT, RENO, NV 89502-6426
(775) 852-1078
Mailing address
4310 TORO CT, RENO, NV 89502-6426
(775) 852-1078
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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