Individual
PILI FAAMAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6615 S EASTERN AVE STE 104, LAS VEGAS, NV 89119-3926
(170) 272-2620
Mailing address
6615 S EASTERN AVE STE 104, LAS VEGAS, NV 89119-3926
(702) 722-6200
(702) 722-6202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251E0000X
HOME HEALTH
NV
Enumeration date
03/19/2021
Last updated
03/19/2021
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