| Organization Name: | GOOD SHEPHERD HOME, LTD |
| NPI Number: | 1114995164 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH A CAPTAIN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 958 Foote Street Seymour |
| State: | WI US |
| Postal Code: | 54165 |
| Phone Number: | 9208337796 |
| Fax Number: | 9208332220 |
| NPI Enumeration Date: | 03/08/2006 |
| NPI Last Update Date: | 01/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2659 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |