Good Shepherd Alf

NPI #1154582708 in Brandon, Florida

Provider Information

NPI Number: 1154582708
Entity Type: Organization
Organization Name: Good Shepherd Alf
Primary Specialty: Assisted Living Facility
Enumeration Date: Jun 17, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 1801 LIDO DR
City: Brandon
State: Florida
ZIP Code: 33511-6824
Phone: (813) 684-4989

Authorized Official

Name: THELMA MANAGAD
Title: OWNER
Phone: (813) 494-2326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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