| NPI | 1174152565 |
|---|---|
| Doing Business As | GOOD SHEPHERD SENIOR SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARCELLAS LACARL JOHNSON CEO 310-654-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |