| NPI | 1992536254 |
|---|---|
| Other Name | GOOD SAMARITAN HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | SYLVIA L DAVENPORT CEO 463-710-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |