Organization
GOOD SHEPHERD HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VONJO RANDOLPH TOMMY (ADMINISTRATOR)
(302) 378-2883
Entity
Organization
Contact information
Practice address
19 MELISSA DR, MIDDLETOWN, DE 19709-8708
(610) 739-7068
Mailing address
19 MELISSA DR, MIDDLETOWN, DE 19709-8708
(610) 739-7068
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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