Organization
GOODWILL HEALTH CARE LLC
Active
Organization
GOODWILL HEALTH CARE LLC
Active
Other names
Goodwill Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
EDSEL GAY MARTINEZ REGISTERED NURSE (ADMINISTRATOR)
(808) 783-3278
Entity
Organization
Contact information
Practice address
6655 W SAHARA AVE STE 113-114, LAS VEGAS, NV 89146-0842
(615) 713-7465
Mailing address
192 MACOBY RUN ST, LAS VEGAS, NV 89148-2628
(615) 713-7465
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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