Organization
PARAGON HEALTHCARE OF PAHRUMP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY VELARDE (PRESIDENT)
(702) 914-2790
Entity
Organization
Contact information
Practice address
1470 E CALVADA BLVD, 100, PAHRUMP, NV 89048-3905
(702) 914-2790
(702) 914-5984
Mailing address
1655 W HORIZON RIDGE PKWY, 100, HENDERSON, NV 89012-3494
(702) 914-2790
(702) 914-5984
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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