Provider Demographics
NPI:1447809124
Name:ALAGACARE,LLC
Entity type:Organization
Organization Name:ALAGACARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUSOGA
Authorized Official - Middle Name:OLADIPO
Authorized Official - Last Name:ALAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-478-5541
Mailing Address - Street 1:3920 W CHARLESTON BLVD STE O
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1633
Mailing Address - Country:US
Mailing Address - Phone:702-478-5541
Mailing Address - Fax:702-915-7664
Practice Address - Street 1:3920 W CHARLESTON BLVD STE O
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1633
Practice Address - Country:US
Practice Address - Phone:702-478-5541
Practice Address - Fax:702-915-7664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health