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Organization
SHEPHERD'S HOME LLC
Active
Organization
SHEPHERD'S HOME LLC
Active
Other names
Shepherd's Way Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIBELLE REYES JARDIO BSN (MEMBER)
(612) 308-1220
Entity
Organization
Contact information
Practice address
8381 YEARLING DRIVE, WOODBURY, MN 55129
(612) 308-1220
(612) 500-4723
Mailing address
8381 YEARLING DRIVE, WOODBURY, MN 55129
(612) 308-1220
(612) 500-4723
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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