GOOD SHEPHERD MANOR, INC

MOMENCE, IL
NPI1700100971
Entity TypeOrganization
Authorized ContactBRUCE ROBERT FITZPATRICK
President
815-472-3700
Organization Subpart ?No
Primary Taxonomy251C00000X 
(Licence: IL  6-374)
Additional Taxonomies311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: IL  0002865)
Enumeration Date2010-03-17
Last Update Date2010-03-17
Business Address
GOOD SHEPHERD MANOR, INC
4129 N STATE ROUTES 1 & 17
MOMENCE, IL 60954-0260
Phone number: 815-472-3700
Mailing Address
GOOD SHEPHERD MANOR, INC
PO BOX 260 4129 N STATE ROUTES 1 & 17
MOMENCE, IL 60954-0260
Phone number: 815-472-3700