OrganizationActive
Good Shepherd Manor, Inc
NPI 1700100971 · Developmentally Disabled Services Day Training Agency · Momence, IL
Provider details
- NPI number
- 1700100971
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Bruce Fitzpatrick, President(815) 472-3700
- License
- 0002865 (IL)
Specialties & taxonomies
Agencies
Nursing & Custodial Care Facilities
Practice location
4129 N State Routes 1 & 17
Momence, IL 60954-0260
Phone: (815) 472-3700
Fax: (815) 472-6086
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 260
Momence, IL 60954-0260
Registry dates
- Enumerated
- 2010-03-17
- Last updated
- 2010-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.