Organization
FONG HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTAGRACIA FONG P.C.A (OWNER)
(702) 463-2760
Entity
Organization
Contact information
Practice address
50 N. HONOLULU STREET SUITE 130, LAS VEGAS, NV 89110
(702) 463-2760
(702) 463-2760
Mailing address
50 N. HONOLULU STREET SUITE 130, LAS VEGAS, NV 89110
(702) 463-2760
(702) 463-2760
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
6267PCS-0
NV
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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