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Organization
THE GOOD SHEPHERD ASSISTED LIVING
Active
Organization
THE GOOD SHEPHERD ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M DENIS (OWNER/ADMINISTRATOR)
(407) 932-0084
Entity
Organization
Contact information
Practice address
1707 W OAK ST, KISSIMMEE, FL 34741-4079
(407) 932-0084
(408) 933-0089
Mailing address
1707 W OAK ST, KISSIMMEE, FL 34741-4079
(407) 932-0084
(408) 933-0089
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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