# GOOD SAMARITAN WAY

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

## Provider details

- **NPI number:** 1245700855
- **Authorized official:** MRS. TERRI HANNIBAL (DIRECTOR)
- **Authorized official phone:** (803) 236-3867

## Contact information

- **Practice address:** 3340 LAURDERDALE LANE, SUMTER, SC 29154
- **Practice address phone:** (803) 236-3867
- **Mailing address:** 3340 LAURDERDALE LANE, SUMTER, SC 29154

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2018
- **Last updated:** 11/27/2018