Organization
GOOD SHEPHERD HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISE MICHEL HHA (OWNER)
(305) 910-7000
Entity
Organization
Contact information
Practice address
6119 NW DROPHY AVE, PORT ST LUCIE, FL 34986-3774
(772) 224-2477
Mailing address
6119 NW DROPHY AVE, PORT ST LUCIE, FL 34986-3774
(772) 224-2477
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
01/07/2025
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