| NPI | 1629780796 |
|---|---|
| Doing Business As | GOOD SHEPHERD LUTHERAN HOME |
| Entity Type | Organization |
| Authorized Contact | YISROEL GANZ Director 732-366-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-29 |