Organization
SHEPHERDS BAPTIST MINISTRIES INC
Active
Other names
Shepherds Ministries
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN BORUCKI (CONTROLLER)
(262) 878-5620
Entity
Organization
Contact information
Practice address
1805 15TH AVE, UNION GROVE, WI 53182-1527
(262) 878-5620
(262) 878-9285
Mailing address
1805 15TH AVE, UNION GROVE, WI 53182-1527
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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