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Organization

THE HOUSE OF THE GOOD SHEPHERD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOLLIE DRISCOLL (CFO)
(908) 684-5734
Entity
Organization

Contact information

Practice address
798 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1718
(908) 684-5900
(908) 979-7038
Mailing address
798 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1718
(908) 684-5900
(908) 979-7038

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
95C000
NJ
314000000X
Skilled Nursing Facility
Primary
032101
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4506804
NJ
05
4506812
NJ
Enumeration date
10/05/2005
Last updated
09/30/2013
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