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THE HOUSE OF THE GOOD SHEPHERD

Assisted Living Facility

Hackettstown, New Jersey

Provider NPI: 1063409803

Organization Information:
Organization Name:  THE HOUSE OF THE GOOD SHEPHERD


Practice Location:
798 WILLOW GROVE ST  HACKETTSTOWN, NJ 07840 US
Tel: 908-684-5900  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
NJ95C000
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
NJ032101

Other Provider Identifiers:

IssuerNumberStateType
4506804NJ05
4506812NJ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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