Good Samaritan Society Hcbs-bjg, Llc

NPI 1043608169 - Hospice Care, Community Based - 251G00000X

NPI Details
NPI 1043608169
Enumeration Date 12/23/2014
Last Updated 01/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KIM KIM
Position PRESIDENT
Phone (915) 544-8999
Fax
Practice Location
800 N MESA ST
SUITE 350
EL PASO TX, 79902-3976, US
Phone (915) 544-8999
Fax
Business Location
800 N MESA ST
SUITE 350
EL PASO TX, 79902-3976, US
Phone (915) 544-8999
Fax (915) 533-0999
Toxanomy
Taxonomy Code 251G00000X
License State South Dakota
License Number DL041114
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According to our database, Good Samaritan Society Hcbs-bjg, Llc NPI is 1043608169, taxonomy code is 251G00000X and license number is DL041114, license state is located at South Dakota. Good Samaritan Society Hcbs-bjg, Llc physically located at 800 N Mesa St, El Paso TX, 79902-3976. NPI Number 1033115704 has the healthcare provider type.

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1043608169 NPI number is provided on an as is basis without warranty of any kind. 1043608169 is maintained by the National Plan & Provider Enumeration System. The contents of Good Samaritan Society Hcbs-bjg, Llc are for informational purposes only.