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Good Samaritan Residential Care Llc
Mental Illness Community Based Residential Treatment Facility in Casa Grande, Arizona
NPI 1508591561

Good Samaritan Residential Care Llc is a Mental Illness Community Based Residential Treatment Facility based in Casa Grande, AZ. Good Samaritan Residential Care Llc practices in Casa Grande, AZ. The NPI Number for Good Samaritan Residential Care Llc is 1508591561 and holds a License No. (Arizona).

The current practice location address for Good Samaritan Residential Care Llc is 1536 E Inouye Dr, Casa Grande, AZ and can be reached out via phone at 817-480-3474.

Location: 1536 E Inouye Dr, Casa Grande, AZ, 85122-6590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508591561
Provider Name
Good Samaritan Residential Care Llc
Credential
Provider Entity Type
Organization
Address
1536 E Inouye Dr, Casa Grande, AZ, 85122-6590
Phone Number
817-480-3474
Fax Number
Provider Enumeration Date
07/22/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH7786 01 AZ AZDHS
institution
Provider Business Practice Location Address Details
Address
1536 E Inouye Dr
City
Casa Grande
State
Arizona
Zip
85122-6590
Phone Number
817-480-3474
Fax Number
person
Provider Business Mailing Address Details
Address
1536 E Inouye Dr
City
Casa Grande
State
Arizona
Zip
85122-6590
Phone Number
817-480-3474
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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