Good Samaritan Retirement Home

NPI #1821344540 in Williston, Florida

Provider Information

NPI Number
1821344540
Entity Type
Organization
Organization Name
Good Samaritan Retirement Home
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 31, 2012
Last Updated
Jul 31, 2012

Practice Location

Address
507 SE 1ST AVE
State
Florida
ZIP Code
32696-2703
Phone
(904) 521-7482

Authorized Official

Name
LORNA VICEDA
Title
OWNER / ADMINISTRATOR
Phone
(904) 521-7482

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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