Organization
GOOD SAMARITAN HOME COMPANION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FIELD BREWER (PRESIDENT)
(904) 215-5900
Entity
Organization
Contact information
Practice address
3689 MAIN STREET, MIDDLEBURG, FL 32068
(904) 215-5900
(904) 215-5980
Mailing address
PO BOX 962, ORANGE PARK, FL 32067
(904) 215-5900
(904) 215-5980
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
230249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230249
HOMEMAKER COMPANION
FL
Enumeration date
07/03/2012
Last updated
07/03/2012
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