Organization
GOOD SAMARITAN HOME SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMANUEL NDUAGUBA M.D. (C.E.O)
(614) 668-5000
Entity
Organization
Contact information
Practice address
2850 STAGE VILLAGE CV, MEMPHIS, TN 38134-4682
(901) 881-2539
Mailing address
5300 E MAIN ST, STE 207, COLUMBUS, OH 43213-2580
(614) 668-5000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
TN
253Z00000X
In Home Supportive Care Agency
Primary
—
TN
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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