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Organization

SAMARITAN BED & BATH SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYDELL GRAY (CEO)
(864) 834-4848
Entity
Organization

Contact information

Practice address
15 BLUE RIDGE DR, TRAVELERS REST, SC 29690-8787
(864) 834-4848
(864) 689-1200
Mailing address
PO BOX 1448, TRAVELERS REST, SC 29690-1204
(864) 834-4848
(864) 689-1200

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
311ZA0620X
Adult Care Home Facility
Primary
006848
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EX0808
SC
Enumeration date
03/16/2007
Last updated
08/28/2023
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