Good Samaritan Adult Day Care

Organization Active NPI Adult Day Care Clinic/Center · Kingstree, SC

NPI 1467004705 · NPPES record last updated Jul 16, 2019

Key facts

NPI
1467004705
Entity type
Organization (NPI type 2)
Primary specialty
Adult Day Care Clinic/Center 261QA0600X
Legal business name
GOOD SAMARITAN ADULT DAY CARE
Practice address
473 Kindale Park Rd
Kingstree, SC 29556-5182
Phone
(843) 382-2966
Fax
(843) 382-2298
NPI assigned
Jul 16, 2019
Organization subpart
No

Authorized official

Name
Ms. Stephanie Ann Pendergrass
Title
Owner
Phone
(843) 382-2966

National Provider Directory

Locations

473 Kindale Park Rd
Kingstree, SC 29556
Phone (843) 382-2966

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Yes

Addresses

Primary practice location

473 Kindale Park Rd
Kingstree, SC 29556-5182

Mailing address

473 Kindale Park Rd
Kingstree, SC 29556-5182
Phone (843) 382-2966

Electronic endpoints

TypeEndpointUseAffiliation
Other URL goodsamaritanadc@gmail.com

Other providers in Kingstree, SC

All providers in Kingstree, SC · Adult Day Care Clinic/Center in South Carolina

Sources for this page

Verify at the official NPI Registry.