| NPI | 1245633858 |
|---|---|
| Doing Business As | GOOD SHEPHERD MANOR |
| Entity Type | Organization |
| Authorized Contact | THOMAS MCCAULLEY Treasurer 360-606-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA 752701) |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2014-09-28 |