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EXDOUS FAMILY & GUIDANCE COALITION LLC NPI 1205268695


NPI Information

NPI: 1205268695
Provider Name: EXDOUS FAMILY & GUIDANCE COALITION LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1415 S MARYLAND PKWY
LAS VEGAS, NV
ZIP 89104
Phone: (702) 569-4455
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EXDOUS FAMILY & GUIDANCE COALITION LLC is a point of service in Las Vegas, NV. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. EXDOUS FAMILY & GUIDANCE COALITION LLC NPI is 1205268695. The provider is registered as an organization entity type.

The provider's business location address is:

1415 S MARYLAND PKWY
LAS VEGAS, NV
ZIP 89104-311
Phone: (702) 569-4455

The provider's authorized official is Myrna Pili .
The authorized official title is Part Owner and has the following contact phone number (702) 569-4455.

The enumeration date for this NPI number is 8/7/2013 and was last updated on 8/7/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceNV20131436018NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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