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Organization
GOOD SHEPHERD HOMES, INC.
Active
Organization
GOOD SHEPHERD HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA MARTINI (VP OF FINANCE)
(320) 252-6525
Entity
Organization
Contact information
Practice address
1211 4TH AVE N, SAUK RAPIDS, MN 56379-2230
(320) 252-6525
(320) 259-3463
Mailing address
1115 4TH AVE N, SAUK RAPIDS, MN 56379-2201
(320) 252-6525
(320) 259-3463
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
722410100
—
MN
Enumeration date
05/15/2008
Last updated
05/15/2008
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