GOOD SHEPHERD LUTHERAN HOME OF THE WEST

LAKE FOREST, CA
NPI1194876359
Doing Business AsGOOD SHEPHERD COMMUNITIES
Entity TypeOrganization
Authorized ContactJEFFREY A. KACZMARSKI
Chief Legal Affairs Officer
920-206-4406
Organization Subpart ?No
Primary Taxonomy320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Additional Taxonomies320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date2007-01-15
Last Update Date2008-04-29
Business Address
GOOD SHEPHERD LUTHERAN HOME OF THE WEST
26489 RANCHO PKWY S
LAKE FOREST, CA 92630-8326
Phone number: 949-855-8056
Mailing Address
GOOD SHEPHERD LUTHERAN HOME OF THE WEST
600 HOFFMANN DR
WATERTOWN, WI 53094-6223
Phone number: 920-261-3050