Organization
GOOD SHEPHERD ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEPHNIE V WHITE (ADMINISTRATOR)
(954) 292-6398
Entity
Organization
Contact information
Practice address
8610 NW 24TH CT, SUNRISE, FL 33322-3304
(954) 742-3171
(954) 721-4509
Mailing address
8610 NW 24TH CT, SUNRISE, FL 33322-3304
(954) 742-3171
(954) 721-4509
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10473
—
FL
Enumeration date
02/07/2020
Last updated
02/07/2020
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