Provider Demographics
NPI:1295107266
Name:CENTER FOR DIGNIFIED CARE
Entity type:Organization
Organization Name:CENTER FOR DIGNIFIED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-489-1575
Mailing Address - Street 1:3170 W SAHARA AVE
Mailing Address - Street 2:SUITE D23
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-6004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3170 W SAHARA AVE
Practice Address - Street 2:SUITE D23
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-6004
Practice Address - Country:US
Practice Address - Phone:702-821-6134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health