Organization
GOOD SHEPHERD HOME HEALTHCARE AGENCY INC.
Active
Other names
Good Shepherd Home Healthcare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
FIDELIS SIMO (CFO)
(972) 470-0440
Entity
Organization
Contact information
Practice address
811 S CENTRAL EXPY STE 531, RICHARDSON, TX 75080-7426
(972) 470-0440
(972) 470-0307
Mailing address
811 S CENTRAL EXPY STE 531, RICHARDSON, TX 75080-7426
(972) 470-0440
(972) 470-0307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009686
TX
251J00000X
Nursing Care Agency
009686
TX
3747P1801X
Personal Care Attendant
009686
TX
Other
Enumeration date
12/18/2006
Last updated
05/16/2018
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