Organization · Type 2 NPI
Phi 413, Inc dba Good Samaritan Retirement Home
Assisted Living Facility · Williston, FL
NPI number
1922430354
Active
Practice location
507 SE 1st Ave
Williston, FL 32696-2703
Fax (352) 528-2722
Mailing address
5626 Oxford Moor Blvd
Windermere, FL 34786-7009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL25 (FL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2 other providers at this address
Other assisted living facility providers in Williston
About NPI 1922430354
Phi 413, Inc dba Good Samaritan Retirement Home's National Provider Identifier is 1922430354, issued on Aug 8, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Williston, FL. The record was last updated on Aug 8, 2013.