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Phi 413, Inc Dba Good Samaritan Retirement Home
Assisted Living Facility in Williston, Florida
NPI 1922430354

Phi 413, Inc Dba Good Samaritan Retirement Home is an Assisted Living Facility based in Windermere, FL. Phi 413, Inc Dba Good Samaritan Retirement Home practices in Williston, FL. The NPI Number for Phi 413, Inc Dba Good Samaritan Retirement Home is 1922430354 and holds a License No. AL25 (Florida).

The current practice location address for Phi 413, Inc Dba Good Samaritan Retirement Home is 507 Se 1St Ave, Williston, FL and can be reached out via phone at 352-528-3201 and via fax at 352-528-2722.

Location: 507 Se 1St Ave, Williston, FL, 34786-7009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922430354
Provider Name
Phi 413, Inc Dba Good Samaritan Retirement Home
Credential
Provider Entity Type
Organization
Address
507 Se 1St Ave, Williston, FL, 34786-7009
Phone Number
352-528-3201
Fax Number
352-528-2722
Provider Enumeration Date
08/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
507 Se 1St Ave
City
Williston
State
Florida
Zip
32696-2703
Phone Number
352-528-3201
Fax Number
352-528-2722
person
Provider Business Mailing Address Details
Address
507 Se 1St Ave
City
Williston
State
Florida
Zip
32696-2703
Phone Number
352-528-3201
Fax Number
352-528-2722
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL25 (Florida)
Definition
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.
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