Organization
GOOD SAMARITAN ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE ANN PENDERGRASS (OWNER)
(843) 382-2966
Entity
Organization
Contact information
Practice address
473 KINDALE PARK RD, KINGSTREE, SC 29556-5182
(843) 382-2966
(843) 382-2298
Mailing address
473 KINDALE PARK RD, KINGSTREE, SC 29556-5182
(843) 382-2966
(843) 382-2298
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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