Organization Name: | GOOD SHEPHERD HOME, LTD |
NPI Number: | 1235106725 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH A CAPTAIN (EXECUTIVE DIRECTOR) |
Mailing Address: | 607 E Bronson Rd Seymour |
State: | WI US |
Postal Code: | 541651040 |
Phone Number: | 9208336856 |
Fax Number: | 9208331846 |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 04/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 1924 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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. |