Organization
PR ACQUISITION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
6330 SPRING MOUNTAIN RD, STE E, LAS VEGAS, NV 89146-8842
(702) 228-4559
Mailing address
6330 SPRING MOUNTAIN RD, STE E, LAS VEGAS, NV 89146-8842
(702) 228-4559
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
03/05/2008
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