Organization
THE SHEPHERD'S GARDEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE BIRD-TURNER (EXECUTIVE DIRECTOR)
(941) 708-9023
Entity
Organization
Contact information
Practice address
12709 DAISY PL, BRADENTON, FL 34212-2959
(941) 708-9023
Mailing address
12709 DAISY PLACE, BRADENTON, FL 34212-2959
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
686251901
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
686251996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686251901
—
FL
05
—
686251996
—
FL
Enumeration date
12/14/2010
Last updated
12/14/2010
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