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Organization

GOOD SHEPERD REBILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROY DE GUZMAN PT (ADMINISTRATOR)
(702) 722-6408
Entity
Organization

Contact information

Practice address
7455 W WASHINGTON AVE, STE. 185, LAS VEGAS, NV 89128-4337
(702) 722-6408
(702) 722-6458
Mailing address
7455 W WASHINGTON AVE, STE. 185, LAS VEGAS, NV 89128-4337
(702) 722-6408
(702) 722-6458

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
NV

Other

Enumeration date
03/09/2011
Last updated
07/21/2022
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