THERESA FOGAL DBA EAGLES NEST NPI 1023771300

NPI Information

THERESA FOGAL DBA EAGLES NEST is a respite care in Reno, NV. THERESA FOGAL DBA EAGLES NEST NPI is 1023771300. The provider is registered as an organization entity type.

The provider's business location address is:

4310 TORO CT
RENO, NV
ZIP 89502-426
Phone: (775) 852-1078

The provider's authorized official is Theresa Fogal .
The authorized official title is Owner and has the following contact phone number (775) 852-1078.

The enumeration date for this NPI number is 10/14/2021 and was last updated on 10/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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