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General NPI Number Information
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NPI Number | 1477469849
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN RESIDENTIAL CARE
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 1356 BUBZY RD
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City | KINGSTREE
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State | SC
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Zip | 29556-5246
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Country | US
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Telephone | 843-382-3530
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Fax | 843-382-3560
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Provider Business Mailing Address
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Address Line | 1356 BUBZY RD
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City | KINGSTREE
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State | SC
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Zip | 29556-5246
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Country | US
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Telephone | 843-382-3530
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Fax | 843-382-3560
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | PAMELA MCCLARY
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Credential |
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Telephone | 803-210-5860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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