Organization
GOOD SHEPHERD HOME
Active
Parent organization
0982N
Other names
Good Shepherd Home Community Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
0982N
Authorized official
CAROL JENOT (ACCOUNTING)
(419) 937-1801
Entity
Organization
Contact information
Practice address
725 COLUMBUS AVE, FOSTORIA, OH 44830-3255
(419) 937-1801
(419) 937-9324
Mailing address
725 COLUMBUS AVE, FOSTORIA, OH 44830-3255
(419) 937-1801
(419) 937-9324
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114928
—
OH
Enumeration date
12/10/2020
Last updated
12/10/2020
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