Good Shepherd Manor Inc
Good Shepherd Manor Inc is an Intellectual Disabilities Intermediate Care Facility in Momence, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4003 N 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
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 0051466 (IL) |
|---|
Record details
| NPI number | 1750659199 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Good Shepherd Manor Inc |
| Authorized official | Bruce Fitzpatrick — President · (815) 472-3700 |
| Other names | Thomas Herbstritt House |
| NPI enumerated | December 13, 2011 |
| Last updated in NPPES | December 13, 2011 |
| Mailing address | Po Box 260, Momence, IL 60954-0260 |
Other providers in Momence
-
Good Shepherd Manor Groups Homes, Inc
4129 N State Routes 1 & 17, Momence, IL 60954 · (815) 472-3700
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Good Shepherd Manor Inc
4129A N State Routes 1 & 17, Momence, IL 60954-0260 · (815) 472-3700