Organization
GOOD SHEPHERD ASSISTANT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA DICKERSON (DIRECTOR)
(936) 223-1858
Entity
Organization
Contact information
Practice address
703 N HOUSTON AVE, LIVINGSTON, TX 77351-2933
(936) 327-9956
Mailing address
703 N HOUSTON AVE, LIVINGSTON, TX 77351-2933
(936) 327-9956
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
139482
TX
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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