Organization
GOOD SHEPHERD PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY HARRIS III (OWNER)
(318) 283-0220
Entity
Organization
Contact information
Practice address
915 N WASHINGTON ST, BASTROP, LA 71220-3007
(318) 283-0220
(318) 283-0210
Mailing address
915 N WASHINGTON ST, BASTROP, LA 71220-3007
(318) 283-0220
(318) 283-0210
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
6936
LA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098965
—
LA
Enumeration date
05/03/2007
Last updated
04/19/2022
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