Organization
HARP LAS VEGAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINO CICERCHIA (CEO)
(561) 293-4295
Entity
Organization
Contact information
Practice address
8665 S EASTERN AVE STE 101, LAS VEGAS, NV 89123-2802
(561) 294-4295
Mailing address
2655 N OCEAN DR STE 103, RIVIERA BEACH, FL 33404-4794
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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