Organization
HOUSE OF THE GOOD SHEPHERD CORPORATION
Active
Other names
Good Shepherd School
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK BOONE (CEO)
(410) 247-2770
Entity
Organization
Contact information
Practice address
4100 MAPLE AVE, BALTIMORE, MD 21227-4007
(410) 247-2770
Mailing address
4100 MAPLE AVE, BALTIMORE, MD 21227-4007
(410) 247-2770
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427825900
—
MD
Enumeration date
01/03/2012
Last updated
01/03/2012
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