Organization
SHEPHERD'S HOME LLC
Active
Other names
Shepherd's Way Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIBELLE REYES JARDIO BSN (MEMBER)
(612) 308-1220
Entity
Organization
Contact information
Practice address
8381 YEARLING DRIVE, WOODBURY, MN 55129
(612) 308-1220
(612) 500-4723
Mailing address
8381 YEARLING DRIVE, WOODBURY, MN 55129
(612) 308-1220
(612) 500-4723
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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