Healthcare Provider Details
I. General information
NPI: 1679063556
Provider Name (Legal Business Name): A PLUS REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2018
Last Update Date: 04/09/2020
Certification Date: 04/09/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
926 W OWENS AVE
LAS VEGAS NV
89106-2516
US
IV. Provider business mailing address
926 W OWENS AVE
LAS VEGAS NV
89106-2516
US
V. Phone/Fax
- Phone: 702-448-3577
- Fax:
- Phone: 702-331-2855
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0401X |
| Taxonomy | Comprehensive Outpatient Rehabilitation Facility (CORF) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIELLE
AKIOYAME
Title or Position: OWNER
Credential:
Phone: 702-581-7435