Organization
GOOD SHEPHERD CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY A ROY LNHA (ADMINISTRATOR CEO)
(651) 793-3241
Entity
Organization
Contact information
Practice address
324 JOHNSON PKWY, SAINT PAUL, MN 55106-6412
(651) 793-3232
(651) 774-9641
Mailing address
324 JOHNSON PKWY, SAINT PAUL, MN 55106-6412
(651) 793-3232
(651) 774-9641
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
326973
MN
Other
Enumeration date
10/11/2005
Last updated
08/22/2020
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