# GOOD SHEPHARD ADULT SERVICES, INC

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

## Provider details

- **NPI number:** 1255632014
- **Authorized official:** MS. VERLINCIA CUYLER (CEO)
- **Authorized official phone:** (678) 817-3636

## Contact information

- **Practice address:** 10537 DAY LILY DR, HAMPTON, GA 30228-6138
- **Practice address phone:** (678) 817-3636
- **Practice address fax:** (678) 817-3636
- **Mailing address:** 10537 DAY LILY DR, HAMPTON, GA 30228-6138
- **Mailing address phone:** (678) 817-3636
- **Mailing address fax:** (678) 817-3636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 031012731 | GA | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | 031012731 | GA | — |

## Other

- **Enumeration date:** 11/10/2010
- **Last updated:** 11/11/2010