Organization
GOOD SAMARITAN CARE CENTER ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTA KOSZYK-WIELGUS (OWNER)
(386) 437-6244
Entity
Organization
Contact information
Practice address
6 RESTON PL, PALM COAST, FL 32164-6605
(386) 437-6244
(386) 437-6244
Mailing address
6 RESTON PL, PALM COAST, FL 32164-6605
(386) 437-6244
(386) 437-6244
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10381
FL
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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