Organization
GOOD SHEPHERD MANOR LLC
Active
Other names
GOOD SHEPHERD MANOR LLC
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE CAPILI MACHARELLI (ADMINISTRATOR)
(909) 991-6939
Entity
Organization
Contact information
Practice address
302 NORDINA ST, REDLANDS, CA 92373-6022
(909) 798-2876
(909) 793-1188
Mailing address
302 NORDINA ST, REDLANDS, CA 92373-6022
(909) 798-2876
(909) 793-1188
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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