Organization
NATIONAL NUCLEAR ENERGY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED FOUTZ (ADMINISTRATOR)
(505) 402-4067
Entity
Organization
Contact information
Practice address
9480 S EASTERN AVE STE 272, LAS VEGAS, NV 89123-8000
(505) 402-4067
(505) 436-2294
Mailing address
2012 SAN JUAN BLVD, FARMINGTON, NM 87401-2220
(505) 402-4067
(505) 436-2294
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
05/04/2022
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