NPI | 1396257390 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE ROMMEL VIRAY Owner 702-871-9917 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2017-10-30 |