Aids Healthcare Foundation
Clinic/Center in North Las Vegas, NV. Organization (NPI-2).
NPI number1053746933
StatusActive
Last updated in NPPESSep 11, 2019
Details
- NPI
- 1053746933
- Entity type
- Organization (NPI-2)
- Legal business name
- Aids Healthcare Foundation
- Organization subpart
- No
- Enumeration date
- Sep 10, 2013
- Last updated
- Sep 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1815 E Lake Mead BlvdSuite 113
North Las Vegas, NV 89030-7187
Phone 323-436-5019
Mailing address
6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422
Phone 323-860-5200 · Fax 833-241-7615
Authorized official
Donna Stidham
Chief Of Managed Care
3234365025
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