| NPI | 1649952318 |
|---|---|
| Other Name | GOOD SAM HEALING - TALLMAN |
| Entity Type | Organization |
| Authorized Contact | GERRIE HALBROOK CFO 661-215-7500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385HR2050X Respite Care, Respite Care Camp |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-04-18 |