Organization
GOOD SHEPHERD REHAB CENTERS OF LAS VEGAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL A ABEJUELA (PRESIDENT/CEO)
(702) 893-3333
Entity
Organization
Contact information
Practice address
2235 E FLAMINGO ROAD, SUITE 170, LAS VEGAS, NV 89119
(702) 380-1060
(702) 380-1081
Mailing address
P.O. BOX 777851, HENDERSON, NV 89077-7851
(702) 893-3333
(702) 893-0960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NV
225100000X
Physical Therapist
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702161
—
NV
01
—
DU0139
RAILROAD MEDICARE
NV
Enumeration date
12/13/2007
Last updated
06/27/2016
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