Organization · Type 2 NPI

Good Shepherd Assisted Living Facility of Brandon LLC

Assisted Living Facility · Brandon, FL

NPI number 1013274091 Active

Practice location

1801 Lido Drive
Brandon, FL 33511

Call (813) 684-4989 Map

Fax (813) 684-4989

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL9000 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1013274091

Good Shepherd Assisted Living Facility of Brandon LLC's National Provider Identifier is 1013274091, issued on Apr 16, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Brandon, FL. The record was last updated on Apr 16, 2012.