# GOOD SAMARITAN RESIDENTIAL

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

## Provider details

- **NPI number:** 1972099257
- **Authorized official:** MR. JAMES TEMPLE OWNER (CHEIF OPERATING OFFICER)
- **Authorized official phone:** (480) 707-1423

## Contact information

- **Practice address:** 17254 N ROSEMONT ST, MARICOPA, AZ 85138-1874
- **Practice address phone:** (480) 707-1423
- **Mailing address:** 7346 E MELROSE ST, MESA, AZ 85207-2071
- **Mailing address phone:** (480) 707-1423

## Taxonomy

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

## Other

- **Enumeration date:** 07/10/2018
- **Last updated:** 12/04/2019