Organization
GOOD SHEPHERD REHABILITATION INSTITUTE INC
Active
Parent organization
GOOD SHEPHERD REHAB CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SHEPHERD REHAB CENTER
Authorized official
CHERRY DIZON (OTR/L)
(702) 893-3333
Entity
Organization
Contact information
Practice address
2451 S BUFFALO DR STE 100, LAS VEGAS, NV 89117-2749
(702) 893-3333
Mailing address
PO BOX 26299, LAS VEGAS, NV 89126-0299
(702) 893-3333
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0815
NV
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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