# GOOD SAMARITAN HOME CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194037820
- **Authorized official:** MRS. STEPHANIE PENDERGRASS (OWNER)
- **Authorized official phone:** (843) 382-3574

## Contact information

- **Practice address:** 3 ROUND SWAMP RD, KINGSTREE, SC 29556-7512
- **Practice address phone:** (843) 382-3574
- **Practice address fax:** (843) 382-3583
- **Mailing address:** 3 ROUND SWAMP ROAD, KINGSTREE, SC 29556
- **Mailing address phone:** (843) 382-3574
- **Mailing address fax:** (843) 382-3583

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2010
- **Last updated:** 07/10/2010