# THE HOUSE OF THE GOOD SHEPHERD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063409803
- **Authorized official:** HOLLIE DRISCOLL (CFO)
- **Authorized official phone:** (908) 684-5734

## Contact information

- **Practice address:** 798 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1718
- **Practice address phone:** (908) 684-5900
- **Practice address fax:** (908) 979-7038
- **Mailing address:** 798 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1718
- **Mailing address phone:** (908) 684-5900
- **Mailing address fax:** (908) 979-7038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 95C000 | NJ | — |
| 314000000X | Skilled Nursing Facility | 032101 | NJ | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 09/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4506804 | — | NJ |
| 05 | — | 4506812 | — | NJ |