Healthcare Provider Details

I. General information

NPI: 1821829136
Provider Name (Legal Business Name): CENTER FOR COMPREHENSIVE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6760 W QUAIL AVE
LAS VEGAS NV
89118-2509
US

IV. Provider business mailing address

6600 FRANCE AVE S STE 350
EDINA MN
55435-1810
US

V. Phone/Fax

Practice location:
  • Phone: 702-685-6004
  • Fax: 702-778-7729
Mailing address:
  • Phone: 952-922-6776
  • 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: MARY PATRICIA RODENBERG-ROBERTS
Title or Position: VP & SR. ASST GENERAL COUNSEL
Credential:
Phone: 952-836-2234