Organization
FUTURE FOUNDATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDIA C RICE (CHIEF OPERATING OFFICER)
(702) 445-0819
Entity
Organization
Contact information
Practice address
3230 S BUFFALO RD STE 101, LAS VEGAS, NV 89117
(702) 445-0819
Mailing address
3230 S BUFFALO RD STE 101, LAS VEGAS, NV 89117
(702) 445-0819
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225C00000X
—
NV
Enumeration date
03/23/2016
Last updated
03/23/2016
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