| NPI | 1396807962 |
|---|---|
| Doing Business As | GOOD SHEPHERD COTTAGES |
| Doing Business As | GOOD SHEPHERD MEMORY LOSS COTTAGES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL STORDAHL Administrator CEO 320-252-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: MN 333736) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-08-13 |