# PARAGON OUTPATIENT THERAPY SERVICES,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARAGON HEALTHCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821162710
- **Authorized official:** MRS. MICHELE VICTORIA MCKIERNAN MHA (CHIEF ADMINISTRATOR)
- **Authorized official phone:** (702) 914-2790

## Contact information

- **Practice address:** 1655 W. HORIZON RIDGE PKWY., SUITE 100, HENDERSON, NV 89012-3494
- **Practice address phone:** (702) 914-2790
- **Practice address fax:** (702) 914-5984
- **Mailing address:** 1655 W. HORIZON RIDGE PKWY., SUITE 100, HENDERSON, NV 89012-3494
- **Mailing address phone:** (702) 914-2790
- **Mailing address fax:** (702) 914-5984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NV | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 04/08/2011