| NPI | 1972088318 |
|---|---|
| Former Legal Business Name | GOOD SHEPHERD HOME SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | VONJO RANDOLPH TOMMY Manager/Owner 302-378-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |