Ronald D Faggins | Las Vegas, NV • PECOS Search

Ronald D Faggins

Counselor

Behavioral Health & Social Service Providers

Hard Knox Rehabilitation And Mentoring Service, 7473 W Lake Mead Blvd, Las Vegas, NV 89128

(702) 562-1288 (215) 651-5654

PECOS Enrollment

Based on the most recent information from CMS, provider Ronald D Faggins does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1265671895
Provider Type
Individual
Full Name
Faggins, Ronald D
Credential
M.ED

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/4/2009
Last Updated
11/13/2024

Contact Information

Practice Location

Hard Knox Rehabilitation And Mentoring Service, 7473 W Lake Mead Blvd, Las Vegas, NV 89128

Unlisted Fax

Mailing Location

8461 Farm Rd Ste 120, Las Vegas, NV 89131-8306

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CP5312 Nevada