Organization
THE GOOD SHEPHERD HOME FOR THE AGED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JAMES STOFAC (PRESIDENT & CEO)
(614) 228-5200
Entity
Organization
Contact information
Practice address
622 CENTER ST, ASHLAND, OH 44805-3343
(419) 289-3523
(419) 281-0656
Mailing address
622 CENTER ST, ASHLAND, OH 44805-3343
(419) 289-3523
(419) 281-0656
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000472N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025850
—
OH
Enumeration date
07/20/2005
Last updated
08/22/2020
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