| NPI | 1972141059 |
|---|---|
| Doing Business As | GOOD SAMARITAN PCA |
| Entity Type | Organization |
| Authorized Contact | ANA BAILETTI Assistant Administrator 702-986-8514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |