Good Shepherd Residential Care, LLC
NPI #1417369158 in Rialto, California
Provider Information
- NPI Number
- 1417369158
- Entity Type
- Organization
- Organization Name
- Good Shepherd Residential Care, LLC
- Primary Specialty
- Home Health
- Enumeration Date
- May 29, 2014
- Last Updated
- Sep 25, 2014
Practice Location
- Address
- 238 N RIVERSIDE AVE
- Address 2
- SUITE C
- City
- Rialto
- State
- California
- ZIP Code
- 92376-5972
- Phone
- (909) 990-0450
Authorized Official
- Name
- DR. LAWRENCE NWAMU
- Title
- OWNER
- Phone
- (909) 990-0450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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