Good Samaritan Residential Care LLC
NPI #1508591561 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1508591561
- Entity Type
- Organization
- Organization Name
- Good Samaritan Residential Care LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jul 22, 2022
- Last Updated
- Jul 22, 2022
Practice Location
- Address
- 1536 E INOUYE DR
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-6590
- Phone
- (817) 480-3474
Authorized Official
- Name
- DIDIER TWAGIRAYEZU
- Title
- ADMINISTRATOR
- Phone
- (817) 480-3474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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