Organization
GOOD SHEPARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAWA SMITH (OWNER)
(508) 615-8315
Entity
Organization
Contact information
Practice address
19102 N LARIAT RD, MARICOPA, AZ 85138-3057
(508) 615-8315
Mailing address
19102 N LARIAT RD, MARICOPA, AZ 85138-3057
(508) 615-8315
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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