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Organization
THE GOOD SHEPERD II ALF INC
Active
Organization
THE GOOD SHEPERD II ALF INC
Active
Other names
THE GOOD SHEPERD II ALF INC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHNIE WHITE (ADMINISTRATOR)
(954) 292-6398
Entity
Organization
Contact information
Practice address
2953 NW 10TH CT, FORT LAUDERDALE, FL 33311-5609
(954) 292-6398
Mailing address
2953 NW 10TH CT, FORT LAUDERDALE, FL 33311-5609
(954) 292-6398
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10744
—
FL
Enumeration date
02/07/2020
Last updated
02/07/2020
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