Organization
THE SHEPERD'S LODGE
Active
Other names
The Sheperd's lodge Ministries
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE SHARON RAMKISSOON (FOUNDER)
(704) 953-3128
Entity
Organization
Contact information
Practice address
2918 DUCK POINT DR, MONROE, NC 28110-8813
(704) 953-3128
Mailing address
2918 DUCK POINT DR, MONROE, NC 28110-8813
(704) 953-3128
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
APPLIED FOR
NC
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
305R00000X
Preferred Provider Organization
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
10/09/2012
Last updated
10/15/2014
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