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Organization
MJM VENTURES LLC
Active
Organization
MJM VENTURES LLC
Active
Other names
TOTAL COMPREHENSIVE OUTPATIENT THERAPY & WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOY MARIE BANZON VILLAMORA (PRESIDENT)
(702) 405-7992
Entity
Organization
Contact information
Practice address
3663 E SUNSET RD STE 503, LAS VEGAS, NV 89120-3299
(702) 405-7992
(702) 405-7920
Mailing address
3700 PORTIANI DR, LAS VEGAS, NV 89141-6149
(702) 286-4603
(702) 405-7920
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
Other
Enumeration date
01/14/2020
Last updated
01/20/2020
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