# GOOD SAMARITAN HOME COMPANION SERVICES, INC.

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

## Provider details

- **NPI number:** 1194089243
- **Authorized official:** MR. THOMAS FIELD BREWER (PRESIDENT)
- **Authorized official phone:** (904) 215-5900

## Contact information

- **Practice address:** 3689 MAIN STREET, MIDDLEBURG, FL 32068
- **Practice address phone:** (904) 215-5900
- **Practice address fax:** (904) 215-5980
- **Mailing address:** PO BOX 962, ORANGE PARK, FL 32067
- **Mailing address phone:** (904) 215-5900
- **Mailing address fax:** (904) 215-5980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 230249 | FL | Yes |

## Other

- **Enumeration date:** 07/03/2012
- **Last updated:** 07/03/2012