Organization Name: | THE GOOD SHEPHERD HOME HEALTH CARE AND HOSPICE |
NPI Number: | 1023203429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARYANN RICCIO (LPN/OWNER) |
Mailing Address: | 2215 Wilson Ave Bristol |
State: | PA US |
Postal Code: | 190074430 |
Phone Number: | 2157852342 |
Fax Number: | 2157852356 |
NPI Enumeration Date: | 09/09/2007 |
NPI Last Update Date: | 09/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |