Organization
GOOD SHEPHERD REHABILITATION INSTITUTE
Active
Parent organization
GOOD SHEPHERD REHABILITATION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SHEPHERD REHABILITATION CENTER
Authorized official
MYRA JUNE LUY SERRANO PT (PT)
(702) 380-1060
Entity
Organization
Contact information
Practice address
4275 BURNHAM AVE, STE 255, LAS VEGAS, NV 89119-5488
(702) 380-1060
(702) 380-1081
Mailing address
4275 BURNHAM AVE, STE 255, LAS VEGAS, NV 89119-5488
(702) 380-1060
(702) 380-1081
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2073
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001702161
—
NV
Enumeration date
06/09/2008
Last updated
06/09/2008
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