Organization
GOOD SHEPHARD ADULT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERLINCIA CUYLER (CEO)
(678) 817-3636
Entity
Organization
Contact information
Practice address
10537 DAY LILY DR, HAMPTON, GA 30228-6138
(678) 817-3636
(678) 817-3636
Mailing address
10537 DAY LILY DR, HAMPTON, GA 30228-6138
(678) 817-3636
(678) 817-3636
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
031012731
GA
320700000X
Physical Disabilities Residential Treatment Facility
031012731
GA
Other
Enumeration date
11/10/2010
Last updated
11/11/2010
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