Provider Demographics
NPI:1790077667
Name:ALL SEASON'S NURSING AND HEALTH CARE PROVIDERS, LLC
Entity Type:Organization
Organization Name:ALL SEASON'S NURSING AND HEALTH CARE PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNAND
Authorized Official - Middle Name:BAMBA
Authorized Official - Last Name:TARUC
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:702-853-7019
Mailing Address - Street 1:5135 CAMINO AL NORTE STE 250
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2389
Mailing Address - Country:US
Mailing Address - Phone:702-853-7019
Mailing Address - Fax:702-853-7020
Practice Address - Street 1:5135 CAMINO AL NORTE SUITE 250
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2389
Practice Address - Country:US
Practice Address - Phone:702-853-7019
Practice Address - Fax:702-853-7020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health