GOOD SAMARITAN CARE PROVIDER LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED

Location

STOCKTON, CA

Licensed since

2014

Rate

—

Federal identifiers

NPI registry number1033516539

Agency details

Medicare activity

StatusNo Medicare utilization on file — neutral.

Authorized official

NamePRAXEDES DEMESA

TitlePRESIDENT/MANAGING MEMBER

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