Organization
GOOD SHEPHERD HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY MYERS (CHAIRMAN)
(480) 650-3766
Entity
Organization
Contact information
Practice address
7455 W WASHINGTON AVE, STE.115, LAS VEGAS, NV 89128-4337
(702) 893-3333
Mailing address
11259 E VIA LINDA # 100-997, SCOTTSDALE, AZ 85259-4076
(702) 893-3333
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NV
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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