Provider Demographics
NPI:1871846949
Name:JOREN LLC
Entity Type:Organization
Organization Name:JOREN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALINGIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-461-6969
Mailing Address - Street 1:4440 E SAINT LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-5646
Mailing Address - Country:US
Mailing Address - Phone:702-461-6969
Mailing Address - Fax:702-431-4143
Practice Address - Street 1:4440 E SAINT LOUIS AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-5646
Practice Address - Country:US
Practice Address - Phone:702-461-6969
Practice Address - Fax:702-431-4143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty