Organization
SOUTHERN NEVADA CARE CENTER
Active
Parent organization
SOUTHERN NEVADA CARE CENTER
Other names
Southern Nevada Medical and Behavioral Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN NEVADA CARE CENTER
Authorized official
MARICHU PIZAN NP (CEO)
(702) 800-5393
Entity
Organization
Contact information
Practice address
1330 KAREN AVE UNIT B, LAS VEGAS, NV 89169-1260
(702) 625-0022
Mailing address
1330 KAREN AVE UNIT B, LAS VEGAS, NV 89169-1260
(702) 625-0022
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801485131
—
NV
Enumeration date
08/04/2022
Last updated
08/04/2022
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