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Organization

POSITIVE HEALTH

Active
Other names
POSiTiVE Health
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PENNY NUNEZ-MCDONOUGH (OWNER)
(415) 690-6635
Entity
Organization

Contact information

Practice address
6550 S PECOS RD STE B-115, LAS VEGAS, NV 89120-2828
(415) 690-6635
Mailing address
6550 S PECOS RD STE B-115, LAS VEGAS, NV 89120-2828
(415) 690-6635

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor
172V00000X
Community Health Worker
175T00000X
Peer Specialist
225400000X
Rehabilitation Practitioner
251B00000X
Case Management Agency
251K00000X
Public Health or Welfare Agency
Primary
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
405300000X
Prevention Professional

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003305483
CA
Enumeration date
05/14/2020
Last updated
06/09/2020
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