Organization
GOOD SAMARITAN HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANANIAS PIERRE (ADMINISTRATOR)
(954) 213-5960
Entity
Organization
Contact information
Practice address
9950 NW 24TH AVE, MIAMI, FL 33147-2160
(954) 213-5960
Mailing address
9950 NW 24TH AVE, MIAMI, FL 33147-2160
(954) 213-5960
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12355
FL
Other
Enumeration date
05/09/2013
Last updated
06/04/2013
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