Good Shepherd Home

NPI 1457453334 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1457453334
Enumeration Date 09/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHRISTOPHER P CHRISTOPHER
Position ADMINISTRATOR
Phone (419) 435-1801
Fax (419) 435-1594
Practice Location
725 COLUMBUS AVE
FOSTORIA OH, 44830-3255, US
Phone (419) 435-1801
Fax (419) 435-1594
Business Location
725 COLUMBUS AVE
FOSTORIA OH, 44830-3255, US
Phone (419) 435-1801
Fax (419) 435-1594
Toxanomy
Taxonomy Code 314000000X
License State Ohio
License Number 0982N
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According to our database, Good Shepherd Home NPI is 1457453334, taxonomy code is 314000000X and license number is 0982N, license state is located at Ohio. Good Shepherd Home physically located at 725 Columbus Ave, Fostoria OH, 44830-3255. NPI Number 1033115704 has the healthcare provider type.

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1457453334 NPI number is provided on an as is basis without warranty of any kind. 1457453334 is maintained by the National Plan & Provider Enumeration System. The contents of Good Shepherd Home are for informational purposes only.