Organization
GOOD SHEPHERDS CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY LEE SHEPHERD (OWNER)
(910) 686-8667
Entity
Organization
Contact information
Practice address
7114 HAVEN WAY, WILMINGTON, NC 28411-7141
(910) 686-8667
Mailing address
7114 HAVEN WAY, WILMINGTON, NC 28411-7141
(910) 686-8667
(910) 686-8667
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
HC3479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346311859
—
NC
Enumeration date
07/25/2007
Last updated
09/19/2007
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