Organization
ZANE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSSAN FUNG (OWNER)
(702) 773-8673
Entity
Organization
Contact information
Practice address
3455 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5119
(702) 773-8673
Mailing address
3455 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/04/2018
Last updated
09/01/2022
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