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Organization

GOOD SHEPHERD ALF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THELMA MANAGAD (OWNER)
(813) 494-2326
Entity
Organization

Contact information

Practice address
1801 LIDO DR, BRANDON, FL 33511-6824
(813) 684-4989
Mailing address
1801 LIDO DR, BRANDON, FL 33511-6824
(813) 684-4989

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9000
FL

Other

Enumeration date
06/17/2008
Last updated
06/17/2008
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