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Organization

GOOD SHEPHERD HEALTHCARE LLC

Active
Other names
Good Shepherd Healthcare LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MANUEL (ADMINISTRATOR)
(773) 478-1784
Entity
Organization

Contact information

Practice address
3144 W MONTROSE AVE, 2ND FLOOR, CHICAGO, IL 60618-1333
(773) 478-1784
(773) 478-2133
Mailing address
3144 W MONTROSE AVE, 2ND FLOOR, CHICAGO, IL 60618-1333
(773) 478-1784
(773) 478-2133

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010661
IL

Other

Enumeration date
03/02/2007
Last updated
02/06/2023
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