Organization
GOOD SAMARITAN SPECIAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMUNDA WARREN (ADMINITRATOR)
(909) 630-7308
Entity
Organization
Contact information
Practice address
42612 35TH ST W, LANCASTER, CA 93536-4105
(909) 630-7308
Mailing address
42612 35TH ST W, LANCASTER, CA 93536-4105
(909) 630-7308
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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