Organization
PHI 413, INC DBA GOOD SAMARITAN RETIREMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILOU ZANANSKI (PRESIDENT)
(407) 235-5961
Entity
Organization
Contact information
Practice address
507 SE 1ST AVE, WILLISTON, FL 32696-2703
(352) 528-3201
(352) 528-2722
Mailing address
5626 OXFORD MOOR BLVD, WINDERMERE, FL 34786-7009
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL25
FL
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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