Good Samaritan Retirement Home
Organization Active NPI Assisted Living Facility · Williston, FL
NPI 1821344540 · NPPES record last updated Jul 31, 2012
Key facts
- NPI
- 1821344540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 25 (FL)
- Legal business name
- GOOD SAMARITAN RETIREMENT HOME
- Practice address
- 507 SE 1St Ave
Williston, FL 32696-2703 - Phone
- (904) 521-7482
- NPI assigned
- Jul 31, 2012
- Organization subpart
- No
Authorized official
- Name
- Lorna Viceda
- Title
- Owner / Administrator
- Phone
- (904) 521-7482
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 25 | FL | Yes |
Addresses
Primary practice location
507 SE 1St Ave
Williston, FL 32696-2703
Mailing address
507 SE 1St Ave
Williston, FL 32696-2703
Phone (904) 521-7482
Other names
- Viceda, LLC
Other providers in Williston, FL
- Heather Mae Fussell
- Casady Blauw Gaines
- Sumayya Ghalaini
- Gina Pitocchelli Inc
- Carrie Corine Glebe
- Grace Health and Wellness Specialists
- Lindsay Elaine Groves
- Tamara Hale-Howell
- Ashley Nicole Hare
- Hart Diversified Resources, Inc.
All providers in Williston, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.