Organization
GOOD SAMARITAN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARETES GODINEZ (MANAGING PARTNER)
(702) 542-5610
Entity
Organization
Contact information
Practice address
6825 W RUSSELL RD, SUITE 170, LAS VEGAS, NV 89118-1888
(702) 896-8400
(702) 791-5600
Mailing address
6825 W RUSSELL RD, SUITE 170, LAS VEGAS, NV 89118-1888
(702) 896-8400
(702) 791-5600
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/22/2013
Last updated
07/20/2020
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