Good Samaritan Care Provider Llc

NPI 1033516539 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1033516539
Enumeration Date 11/26/2014
Last Updated 11/26/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PRAXEDES BERNARDO PRAXEDES
Position PRESIDENT/MANAGING MEMBER
Phone (209) 406-6610
Fax (209) 451-4997
Practice Location
10740 OAKWILDE AVE
STOCKTON CA, 95212-9249, US
Phone (209) 406-6610
Fax (209) 451-4997
Business Location
7419 SKYWAY
PARADISE CA, 95969-3230, US
Phone (209) 406-6610
Fax (209) 451-4997
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Good Samaritan Care Provider Llc NPI is 1033516539, taxonomy code is 314000000X Good Samaritan Care Provider Llc physically located at 10740 Oakwilde Ave, Stockton CA, 95212-9249. NPI Number 1033115704 has the healthcare provider type.

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1033516539 NPI number is provided on an as is basis without warranty of any kind. 1033516539 is maintained by the National Plan & Provider Enumeration System. The contents of Good Samaritan Care Provider Llc are for informational purposes only.