Good Samaritan Group Home LLC
NPI #1205527579 in Litchfield Park, Arizona
Provider Information
- NPI Number
- 1205527579
- Entity Type
- Organization
- Organization Name
- Good Samaritan Group Home LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- May 17, 2023
- Last Updated
- May 17, 2023
Practice Location
- Address
- 12332 W SAN JUAN AVE
- City
- Litchfield Park
- State
- Arizona
- ZIP Code
- 85340-3445
- Phone
- (480) 300-1698
Authorized Official
- Name
- BILLY BIJENDE
- Title
- PRESIDENT
- Phone
- (480) 300-1698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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