| NPI | 1619998358 |
|---|---|
| Doing Business As | GOOD SHEPHERD HOME |
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN BLAHOSKI Clinic Director 701-444-8746 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-06-16 |