Organization
GOOD SHEPHERDS HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY LEE SHEPHERD (CEO, OWNER)
(910) 686-8667
Entity
Organization
Contact information
Practice address
7114 HAVEN WAY, WILMINGTON, NC 28411-7141
(910) 686-8667
(910) 686-8667
Mailing address
PO BOX 10999, WILMINGTON, NC 28404-0999
(910) 686-8667
(910) 686-8667
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601573
—
NC
Enumeration date
11/13/2006
Last updated
08/22/2020
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