Organization
LAS VEGAS OUTPATIENT REHABILITATION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELSA DAGALEA RN (CLINIC ADMINISTRATOR)
(702) 822-5814
Entity
Organization
Contact information
Practice address
534 S DECATUR BLVD, LAS VEGAS, NV 89107-3931
(702) 822-5814
(702) 822-5816
Mailing address
534 S DECATUR BLVD, LAS VEGAS, NV 89107-3931
(702) 822-5814
(702) 822-5816
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
TRN302247
NV
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
RC651
NV
Other
Enumeration date
05/10/2012
Last updated
04/24/2014
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