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Organization
GOOD SAMARITAN RESIDENTIAL
Active
Organization
GOOD SAMARITAN RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES TEMPLE OWNER (CHEIF OPERATING OFFICER)
(480) 707-1423
Entity
Organization
Contact information
Practice address
17254 N ROSEMONT ST, MARICOPA, AZ 85138-1874
(480) 707-1423
Mailing address
7346 E MELROSE ST, MESA, AZ 85207-2071
(480) 707-1423
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/10/2018
Last updated
12/04/2019
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