Organization
PAM SQUARED AT LAS VEGAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY F. MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
6166 NORTH DURANGO DRIVE, LAS VEGAS, NV 89149
(725) 223-4100
Mailing address
1828 GOOD HOPE RD STE 101, ENOLA, PA 17025-1203
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
02/16/2026
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