Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GOOD SHEPHERD MANOR INC
Active OrganizationGOOD SHEPHERD MANOR INC is a ICF/Individuals with Intellectual Disabilities organization located in MOMENCE, Illinois. NPI 1750659199 is currently active in the NPPES registry. Verify at CMS.
ICF/Individuals with Intellectual Disabilities · MOMENCE, IL
Registration Details
- NPI Number
- 1750659199
- Provider Type
- Organization
- NPI Issued
- Dec 13, 2011 (14.680724980441 yrs)
- Last Updated
- Dec 13, 2011
- License
-
0051466 (IL)
Practice Information
- Address
-
4003 N. ROUTES 1 & 17MOMENCE, IL, 609540260Browse IL providers · Browse ZIP 60954
- Phone
- 8154723700
- Fax
- 8154726086
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Other ICF/Individuals with Intellectual Disabilities Organizations in MOMENCE, IL
| Name | NPI |
|---|---|
| GOOD SHEPHERD MANOR INC | 1841568284 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.