NPI 1992946073

Good Shepherd Assisted Living

Organisation Adult Care Home Facility Lawrenceville, GA

Practice location

Address: 1712 Braselton Hwy, Lawrenceville, GA 30043-2813
Phone: (770) 995-4447
Fax: (770) 995-4446

Authorised official

Name: Florin Ionel Hut
Title: Owner -Sole Proprieter
Phone: (770) 995-4447

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 2009000738 (GA)

Other Custodial Care Facility providers in Georgia →

Registry record

NPI: 1992946073
Entity type: Organization
NPI issued: 18 Mar 2009
Record last updated: 18 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.