# GOOD SHEPHERD GERIATRIC CENTER, INC.

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

## Provider details

- **NPI number:** 1487729695
- **Authorized official:** ANNE DEMARIS (BKP)
- **Authorized official phone:** (641) 424-1740

## Contact information

- **Practice address:** 302 2ND ST NE, MASON CITY, IA 50401-3412
- **Practice address phone:** (641) 424-1740
- **Mailing address:** 302 2ND ST NE, MASON CITY, IA 50401-3412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 11/18/2008