| Good Shepherds Care Inc. | |
|
7114 Haven Way Wilmington NC 28411-7141 | |
| (910) 686-8667 | |
| Not Available |
| Full Name | Good Shepherds Care Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7114 Haven Way, Wilmington, North Carolina |
| Authorized Official Name and Position | Harry Lee Shepherd (OWNER) |
| Authorized Official Contact | 9106868667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherds Care Inc. 7114 Haven Way Wilmington NC 28411-7141 Ph: (910) 686-8667 | Good Shepherds Care Inc. 7114 Haven Way Wilmington NC 28411-7141 Ph: (910) 686-8667 |
| NPI Number | 1093905119 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093905119 | NPI | - | NPPES |
| 1346311859 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | HC3479 (North Carolina) | Primary |
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