Organization
GOOD SHEPHERD HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARLNSHA L SHEPHERD (OWNER)
(702) 712-9359
Entity
Organization
Contact information
Practice address
4148 E HALE CIR, MESA, AZ 85205-4035
(702) 712-9359
Mailing address
4148 E HALE CIR, MESA, AZ 85205-4035
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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