# GOOD SAMARITAN SOCIETY HCBS-TX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Samaritan Society-Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043450950
- **Authorized official:** MR. GEORGE GRANT TRIBBLE (TREASURER)
- **Authorized official phone:** (605) 362-3900

## Contact information

- **Practice address:** 607 W MAGNOLIA AVE STE 205, FORT WORTH, TX 76104-4608
- **Practice address phone:** (972) 686-4366
- **Practice address fax:** (972) 686-4372
- **Mailing address:** 700 N TOWN EAST BLVD APT 159, MESQUITE, TX 75150-4793
- **Mailing address phone:** (972) 686-4366
- **Mailing address fax:** (972) 686-4372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | TX | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 11/01/2021