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Organization
SHEPHERD'S HOME LLC
Active
Organization
SHEPHERD'S HOME LLC
Active
Other names
Mangers Way Home
Organization subpart
No
Provider details
NPI number
Authorized official
ELIBELLE JARDIO RN (MEMBER)
(612) 308-1220
Entity
Organization
Contact information
Practice address
10652 ALISON WAY, INVER GROVE HEIGHTS, MN 55077-5472
(612) 308-1220
(612) 500-4723
Mailing address
8381 YEARLING DR, WOODBURY, MN 55129-7600
(612) 308-1220
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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