GOOD SHEPHERD ASSISTED LIVING NPI 1992946073

NPI Information

GOOD SHEPHERD ASSISTED LIVING is an adult care home custodial care facility in Lawrenceville, GA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. GOOD SHEPHERD ASSISTED LIVING NPI is 1992946073. The provider is registered as an organization entity type.

The provider's business location address is:

1712 BRASELTON HWY
LAWRENCEVILLE, GA
ZIP 30043-813
Phone: (770) 995-4447
Fax: (770) 995-4446

The provider's authorized official is Florin Ionel Hut .
The authorized official title is Owner -sole Proprieter and has the following contact phone number (770) 995-4447.

The enumeration date for this NPI number is 3/18/2009 and was last updated on 3/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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