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Contact Information

LAS VEGAS OUTPATIENT REHABILITATION CORPORATION
534 S DECATUR BLVD
LAS VEGAS, NV89107-3931
 Phone: 702-822-5814
 Fax: 702-822-5816
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Pulmonary Rehabilitation

2279P1005X
Indicates primary specialty

NPI Profile & details for LAS VEGAS OUTPATIENT REHABILITATION CORPORATION

NPI # 1407115546
LBN Legal business name LAS VEGAS OUTPATIENT REHABILITATION CORPORATION
Authorized official DELSA DAGALEA - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2012
Last updated 04/24/2014 - About 12 years ago
Identifiers
NV License # RC651
NV License # TRN302247
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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