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Organization
GOOD SAMARITAN CARE PROVIDER LLC
Active
Organization
GOOD SAMARITAN CARE PROVIDER LLC
Active
Other names
FOUR SEASONS IN PARADISE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRAXEDES BERNARDO DEMESA NHA (PRESIDENT/MANAGING MEMBER)
(530) 877-7676
Entity
Organization
Contact information
Practice address
10740 OAKWILDE AVE, STOCKTON, CA 95212-9249
(209) 406-6610
(209) 451-4997
Mailing address
7419 SKYWAY, PARADISE, CA 95969-3230
(209) 406-6610
(209) 451-4997
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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