GOOD SHEPHERD MANOR, INC is a day training developmentally disabled services in Momence, IL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GOOD SHEPHERD MANOR, INC NPI is 1700100971. The provider is registered as an organization entity type.
The provider's business location address is:
4129 N STATE ROUTES 1 & 17
MOMENCE, IL
ZIP 60954-260
Phone: (815) 472-3700
Fax: (815) 472-6086
The provider's authorized official is Bruce Robert Fitzpatrick .
The authorized official title is President and has the following contact phone number (815) 472-3700.
The CLIA number assigned to this NPI record is 14D1055712 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/17/2010 and was last updated on 3/17/2010.