Organization
GOOD SAMARITAN INDEPENDENT LIVING INC
Active
Other names
CAPE ALBEON
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL ELIZABETH DISANZA MA LB HA (EXECUTIVE DIRECTOR)
(636) 861-3200
Entity
Organization
Contact information
Practice address
3300 LAKE BEND DR, VALLEY PARK, MO 63088-2524
(636) 861-3200
(636) 861-6073
Mailing address
3300 LAKE BEND DR, VALLEY PARK, MO 63088-2524
(636) 861-3200
(636) 861-6073
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
034533
MO
Other
Enumeration date
07/26/2007
Last updated
06/12/2008
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