Organization
GOOD SHEPHERD SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUXON RATEAU (MANAGER)
(617) 313-6559
Entity
Organization
Contact information
Practice address
103 SELWYN RD, RANDOLPH, MA 02368-5185
(617) 313-6559
Mailing address
103 SELWYN RD, RANDOLPH, MA 02368-5185
(617) 313-6559
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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