Good Samaritan Care Provider LLC
NPI #1033516539 in Stockton, California
Provider Information
- NPI Number
- 1033516539
- Entity Type
- Organization
- Organization Name
- Good Samaritan Care Provider LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 26, 2014
- Last Updated
- Nov 26, 2014
Practice Location
- Address
- 10740 OAKWILDE AVE
- City
- Stockton
- State
- California
- ZIP Code
- 95212-9249
- Phone
- (209) 406-6610
Authorized Official
- Name
- MS. PRAXEDES BERNARDO DEMESA, NHA
- Title
- PRESIDENT/MANAGING MEMBER
- Phone
- (530) 877-7676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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