Friends Of Good Shepherd Manor in Lucasville - Intermediate Care Facility, Intellectual Disabilities
Friends Of Good Shepherd Manor - NPI 1275704546
Friends Of Good Shepherd Manor is a Intermediate Care Facility, Intellectual Disabilities in Lucasville, Ohio. Friends Of Good Shepherd Manor practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Friends Of Good Shepherd Manor is 1275704546. The last update date is 2009-02-04.
Friends Of Good Shepherd Manor's current location address is 374 Good Manor Rd., Lucasville, Ohio. You can contact this provider via phone number 1877885286. The mailing address for Friends Of Good Shepherd Manor is 374 Good Manor Rd., Lucasville, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Friends Of Good Shepherd Manor |
|---|---|
| Address | 374 Good Manor Rd., Lucasville, Ohio |
| Phone Number | 1877885286 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM CH |
|---|---|
| Authorized Official Name | Phipps Dave |
| Telephone Number | 8778852861 |
NPI Number Detail
| NPI Number | 1275704546 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2009-02-04 |
Provider Mailing Address Detail
| Address | 374 Good Manor Rd. |
|---|---|
| City | Lucasville |
| State | Ohio (OH) |
| Post Code | 45648 |
| Phone Number | 1877885286 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 850477 | OH | -- |
Post Comment/ Review Below
What is the Friends Of Good Shepherd Manor's 1275704546?
The Friends Of Good Shepherd Manor's NPI (National Provider Identifier) Number is 1275704546. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Friends Of Good Shepherd Manor is located?
The Friends Of Good Shepherd Manor is situated at the following address: 374 Good Manor Rd., Lucasville, OH, 45648.
What is Friends Of Good Shepherd Manor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Friends Of Good Shepherd Manor's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
When was the Friends Of Good Shepherd Manor's 1275704546 issued?
The Friends Of Good Shepherd Manor's 1275704546 was issued on 2008-03-14.
As of what date were the details related to Friends Of Good Shepherd Manor most recently updated or revised?
The information pertaining to Friends Of Good Shepherd Manor, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-04.
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