# GOOD SHEPHERD HOUSE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Shepherd House, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629588728
- **Authorized official:** JANICE ROLLINS (DIRECTOR)
- **Authorized official phone:** (800) 557-1722

## Contact information

- **Practice address:** 728 OLD BUCKROE RD, HAMPTON, VA 23663-1533
- **Practice address phone:** (800) 557-1722
- **Mailing address:** 129 PEBBLE BEACH LN, WILLIAMSBURG, VA 23185-5958
- **Mailing address phone:** (757) 344-7261
- **Mailing address fax:** (757) 818-8619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 2668 | VA | Yes |

## Other

- **Enumeration date:** 10/03/2017
- **Last updated:** 10/03/2017