Good Samaritan Independent Living INC
NPI #1376733204 in Valley Park, Missouri
Provider Information
- NPI Number
- 1376733204
- Entity Type
- Organization
- Organization Name
- Good Samaritan Independent Living INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 26, 2007
- Last Updated
- Jun 12, 2008
Practice Location
- Address
- 3300 LAKE BEND DR
- City
- Valley Park
- State
- Missouri
- ZIP Code
- 63088-2524
- Phone
- (636) 861-3200
Authorized Official
- Name
- MS. CAROL ELIZABETH DISANZA, MA LB HA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (636) 861-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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