Organization
GOOD SAMARITAN HEALTH GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SHACKLEFORD LNHA (ADMINISTRATOR)
(440) 937-6201
Entity
Organization
Contact information
Practice address
32900 DETROIT RD, AVON, OH 44011-2018
(440) 937-6201
(440) 937-5955
Mailing address
32900 DETROIT RD, AVON, OH 44011-2018
(440) 937-6201
(440) 937-5955
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1195N
OH
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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