Organization
GOOD SAMARITAN HOME II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANANIAS PIERRE (OWNER)
(954) 213-5960
Entity
Organization
Contact information
Practice address
1100 NW 104TH ST, MIAMI, FL 33150-1046
(954) 213-5960
Mailing address
1100 NW 104TH ST, MIAMI, FL 33150-1046
(954) 213-5960
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12512
FL
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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