| NPI | 1104466416 |
|---|---|
| Doing Business As | TOTAL COMPREHENSIVE OUTPATIENT THERAPY & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JOY MARIE BANZON VILLAMORA President 702-405-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-20 |