Healthcare Provider Details

I. General information

NPI: 1639795370
Provider Name (Legal Business Name): CENTER FOR COMPREHENSIVE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2785 S RAINBOW BLVD
LAS VEGAS NV
89146-4008
US

IV. Provider business mailing address

2785 S RAINBOW BLVD
LAS VEGAS NV
89146-4008
US

V. Phone/Fax

Practice location:
  • Phone: 702-685-6004
  • Fax:
Mailing address:
  • Phone: 702-685-6004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: SERGIO P CRUZ
Title or Position: CFO
Credential:
Phone: 781-708-9444