| NPI | 1760191001 |
|---|---|
| Doing Business As | SHEPHERD'S WAY HOME |
| Entity Type | Organization |
| Authorized Contact | ELIBELLE REYES JARDIO Member 612-308-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |