Organization
GOOD SAMARITAN FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONDALAIRE BETHEA (ADMINISTRATOR)
(910) 843-9524
Entity
Organization
Contact information
Practice address
135 N MAIN ST, RED SPRINGS, NC 28377-1327
(910) 843-9524
(910) 843-9310
Mailing address
PO BOX 238, MAXTON, NC 28364-0238
(910) 843-9524
(910) 843-9310
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL078036
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804776
—
NC
Enumeration date
08/04/2006
Last updated
08/22/2020
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