Organization
GOOD SHEPHERD REHAB CENTERS OF LAS VEGAS INC
Active
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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