Organization Name: | THE HOUSE OF THE GOOD SHEPHERD |
NPI Number: | 1063409803 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOLLIE DRISCOLL (CFO) |
Mailing Address: | 798 Willow Grove St Hackettstown |
State: | NJ US |
Postal Code: | 078401718 |
Phone Number: | 9086845900 |
Fax Number: | 9089797038 |
NPI Enumeration Date: | 10/05/2005 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 95C000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |