Organization
GOOD SHEPHERD VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN STEFFANNI (PRESIDENT)
(937) 322-1911
Entity
Organization
Contact information
Practice address
422 N BURNETT RD, SPRINGFIELD, OH 45503-4821
(937) 322-1911
(937) 322-8606
Mailing address
422 N BURNETT RD, SPRINGFIELD, OH 45503-4821
(937) 322-1911
(937) 322-8606
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2793
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2265052
—
OH
Enumeration date
03/23/2007
Last updated
01/22/2008
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