| K F E Empire Support Services | |
|
2580 N Rancho Ste 104 A N Las Vegas NV 89032-8903 | |
| (480) 795-0209 | |
| Not Available |
| Full Name | K F E Empire Support Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2580 N Rancho, N Las Vegas, Nevada |
| Authorized Official Name and Position | Adrian King (MANAGING MEMBER) |
| Authorized Official Contact | 4807950209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K F E Empire Support Services 2580 N Rancho Ste 104 A 2580 N Rancho N Las Vegas NV 89032 Ph: () - | K F E Empire Support Services 2580 N Rancho Ste 104 A N Las Vegas NV 89032-8903 Ph: (480) 795-0209 |
| NPI Number | 1932736824 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 03/23/2020 |
| Certification Date | 03/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932736824 | NPI | - | NPPES |
| NV20201745271 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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