Provider Demographics
NPI:1508541558
Name:FUENTES IN HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:FUENTES IN HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:NICHOL
Authorized Official - Last Name:VEST
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CHW,SW,CM
Authorized Official - Phone:725-263-8611
Mailing Address - Street 1:5155 BLANTON DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-6642
Mailing Address - Country:US
Mailing Address - Phone:725-263-8611
Mailing Address - Fax:
Practice Address - Street 1:5155 BLANTON DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89122-6642
Practice Address - Country:US
Practice Address - Phone:725-263-8611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251K00000XAgenciesPublic Health or Welfare