Friends of Good Shepherd Manor
NPI #1275704546 in Lucasville, Ohio
Provider Information
- NPI Number
- 1275704546
- Entity Type
- Organization
- Organization Name
- Friends of Good Shepherd Manor
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Mar 14, 2008
- Last Updated
- Feb 4, 2009
Practice Location
- Address
- 374 GOOD MANOR RD.
- City
- Lucasville
- State
- Ohio
- ZIP Code
- 45648
- Phone
- (187) 788-5286
Authorized Official
- Name
- MR. DAVE PHIPPS
- Title
- INTERIM CHIEF EXECUTIVE DIRECTOR
- Phone
- (877) 885-2861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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