Organization
RESTORATION AND RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIVELLE NUNEZ-RUCKER (OWNER)
(702) 302-4288
Entity
Organization
Contact information
Practice address
811 S DECATUR BLVD, LAS VEGAS, NV 89107-3933
(702) 302-4288
(702) 790-2570
Mailing address
811 S DECATUR BLVD, LAS VEGAS, NV 89107-3933
(702) 302-4288
(702) 790-2570
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336480730
NPPES
NV
Enumeration date
10/26/2018
Last updated
10/26/2018
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