NPI 1205183886

My Family Home

Organisation Preferred Provider Organization Las Vegas, NV

Practice location

Address: 2224 Canary Way, Las Vegas, NV 89106-1912
Phone: (702) 201-8585

Authorised official

Name: Jewel Deguzman
Title: President
Phone: (702) 636-8762

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Nevada →

Registry record

NPI: 1205183886
Entity type: Organization
NPI issued: 13 Aug 2012
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.