Organization
PRY INC
Active
Other names
Good Samaritan Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN ROMERO RN (ADMINISTRATOR)
(407) 435-5548
Entity
Organization
Contact information
Practice address
507 SE 1ST AVE, WILLISTON, FL 32696-2703
(352) 528-2722
(407) 528-3003
Mailing address
507 SE 1ST AVE, WILLISTON, FL 32696-2703
(352) 528-2722
(407) 528-3003
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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