Organization
GOOD SHEPHERD HOME LONG TERM CARE FACILITY, INC
Active
Other names
Good Shepherd Home Raker Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SPIGEL (PRESIDENT)
(610) 776-3130
Entity
Organization
Contact information
Practice address
601 SAINT JOHN ST, CONRAD W RAKER CENTER, ALLENTOWN, PA 18103-3233
(610) 776-3199
(610) 776-3143
Mailing address
850 S 5TH ST, GOOD SHEPHERD PLAZA, ALLENTOWN, PA 18103-3308
(610) 776-8303
(610) 778-9272
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017915090007
—
PA
Enumeration date
06/01/2006
Last updated
09/21/2020
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