| NPI | 1316114606 |
|---|---|
| Doing Business As | GOOD SHEPHERD SUPPORTIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | KRISTA MARTINI VP Of Finance 320-252-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2021-10-04 |