Good Shepherd Manor, Inc
Good Shepherd Manor, Inc is a Developmentally Disabled Services Day Training Agency in Momence, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4129 N State Routes 1 & 17Momence, IL 60954-0260
Phone: (815) 472-3700
Fax: (815) 472-6086
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X · Licence 6-374 (IL) |
|---|---|
| Adult Care Home Facility | Taxonomy 311ZA0620X · Licence 0002865 (IL) |
Record details
| NPI number | 1700100971 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruce Fitzpatrick — President · (815) 472-3700 |
| NPI enumerated | March 17, 2010 |
| Last updated in NPPES | March 17, 2010 |
| Mailing address | Po Box 260, 4129 N State Routes 1 & 17, Momence, IL 60954-0260 |