# GOOD SAMARITAN FAMILY CARE HOME

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

## Provider details

- **NPI number:** 1700894862
- **Authorized official:** MRS. TONDALAIRE BETHEA (ADMINISTRATOR)
- **Authorized official phone:** (910) 843-9524

## Contact information

- **Practice address:** 135 N MAIN ST, RED SPRINGS, NC 28377-1327
- **Practice address phone:** (910) 843-9524
- **Practice address fax:** (910) 843-9310
- **Mailing address:** PO BOX 238, MAXTON, NC 28364-0238
- **Mailing address phone:** (910) 843-9524
- **Mailing address fax:** (910) 843-9310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL078036 | NC | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7804776 | — | NC |