Organization
PR ACQUISITION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
821 N NELLIS BLVD, STE 130, LAS VEGAS, NV 89110-5339
(702) 452-4563
Mailing address
821 N NELLIS BLVD, STE 130, LAS VEGAS, NV 89110-5339
(702) 452-4563
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
09/01/2010
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