Organization
GOOD SHEPHERD SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORCAS ADEYEMO (CEO)
(443) 621-6235
Entity
Organization
Contact information
Practice address
19760 LONGMEADOW RD STE A, HAGERSTOWN, MD 21742-2545
(443) 621-6235
Mailing address
19760 LONGMEADOW RD STE A, HAGERSTOWN, MD 21742-2545
(443) 621-6235
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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