| NPI | 1093459372 |
|---|---|
| Doing Business As | DE GOOD SHEPHARD SENIOR LIVING INC. |
| Entity Type | Organization |
| Authorized Contact | DOROTHY IJEOMA EZEKWE-ANYA Administrator 170-439-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2022-04-23 |