| NPI | 1790087872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY VALARDE President 702-914-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NV NV20101481223) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |