Provider Demographics
NPI:1255057014
Name:SHEPHERD HEALTH SERVICES INC.
Entity type:Organization
Organization Name:SHEPHERD HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:DANSO
Authorized Official - Last Name:LIGGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-661-1538
Mailing Address - Street 1:852 QUINCE ORCHARD BLVD APT 102
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1724
Mailing Address - Country:US
Mailing Address - Phone:240-661-1538
Mailing Address - Fax:
Practice Address - Street 1:852 QUINCE ORCHARD BLVD APT 102
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1724
Practice Address - Country:US
Practice Address - Phone:240-661-1538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care