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Organization

GOOD SAMARITAN LIVING WELL ASSISTED LIVING

Active
Other names
Living well attended care services
Organization subpart
No

Provider details

NPI number
Authorized official
RACHELLE LAMY LIMITE ADMINISTRATOR (MANAGER)
(480) 274-7815
Entity
Organization

Contact information

Practice address
2440 E WHITTEN ST, CHANDLER, AZ 85225-2832
(480) 274-7815
(480) 963-4367
Mailing address
2440 E WHITTEN ST, CHANDLER, AZ 85225-2832
(480) 274-7815
(480) 963-4367

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
251B00000X
Case Management Agency
253Z00000X
In Home Supportive Care Agency
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
04/29/2014
Last updated
04/29/2014
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