Provider Demographics
NPI:1073266003
Name:FORD, ARLINDA FAYE
Entity Type:Individual
Prefix:MRS
First Name:ARLINDA
Middle Name:FAYE
Last Name:FORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 W LAKE MEAD PKWY STE 1220
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-7046
Mailing Address - Country:US
Mailing Address - Phone:702-566-2433
Mailing Address - Fax:702-565-2600
Practice Address - Street 1:4855 VEGAS VALLEY DR APT 102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-2078
Practice Address - Country:US
Practice Address - Phone:702-971-7739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant