Provider Demographics
NPI:1851850994
Name:MOVING 4WARD, LLC
Entity Type:Organization
Organization Name:MOVING 4WARD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-434-8700
Mailing Address - Street 1:50 S STEPHANIE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5731
Mailing Address - Country:US
Mailing Address - Phone:702-434-8700
Mailing Address - Fax:702-434-8701
Practice Address - Street 1:50 S STEPHANIE ST STE 203
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5731
Practice Address - Country:US
Practice Address - Phone:702-434-8700
Practice Address - Fax:702-434-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care