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Pr Acquisition Corporation

Clinic/Center, Rehabilitation in Las Vegas, NV. Organization (NPI-2).

NPI number1790746477
StatusActive
Last updated in NPPESSep 1, 2010

Details

NPI
1790746477
Entity type
Organization (NPI-2)
Legal business name
Pr Acquisition Corporation
Organization subpart
No
Enumeration date
Mar 31, 2006
Last updated
Sep 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0400X Clinic/Center, Rehabilitation––Yes

Practice location

2650 N Tenaya Way
Las Vegas, NV 89128-1102

Phone 702-952-3653

Mailing address

2650 N Tenaya Way
Las Vegas, NV 89128-1102

Phone 702-952-3653

Authorized official

Michael Tarvin
Vice President
7179721100

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