Organization
GOOD SAMARITAN HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE PENDERGRASS (OWNER)
(843) 382-3574
Entity
Organization
Contact information
Practice address
3 ROUND SWAMP RD, KINGSTREE, SC 29556-7512
(843) 382-3574
(843) 382-3583
Mailing address
3 ROUND SWAMP ROAD, KINGSTREE, SC 29556
(843) 382-3574
(843) 382-3583
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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