Organization
T. C. FITZGERALD INC.
Active
Other names
Diamond Retirement Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ALLAN FITZGERALD III (ADMINISTRATOR)
(702) 496-6906
Entity
Organization
Contact information
Practice address
335 W SHERWOOD DR, HENDERSON, NV 89015-7700
(702) 396-6906
Mailing address
335 W SHERWOOD DR, HENDERSON, NV 89015-7700
(702) 396-6906
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005053861
—
NV
Enumeration date
05/17/2019
Last updated
05/17/2019
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