Provider Demographics
NPI:1740879188
Name:HEALTH ATTACK LLC
Entity type:Organization
Organization Name:HEALTH ATTACK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LEILANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBA
Authorized Official - Suffix:
Authorized Official - Credentials:CONTRACTOR/EMPLOYEE
Authorized Official - Phone:702-488-4918
Mailing Address - Street 1:7455 ARROYO CROSSING PKWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-4085
Mailing Address - Country:US
Mailing Address - Phone:702-488-4918
Mailing Address - Fax:
Practice Address - Street 1:7455 ARROYO CROSSING PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-4085
Practice Address - Country:US
Practice Address - Phone:702-300-7764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service