| Good Samaritan Assisted Living LLC | |
|
1229 12th Ave N Saint Cloud MN 56303-2720 | |
| (320) 224-0027 | |
| Not Available |
| Full Name | Good Samaritan Assisted Living LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1229 12th Ave N, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Rashid Shurie (OWNER) |
| Authorized Official Contact | 3202240027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Assisted Living LLC 1229 12th Ave N Saint Cloud MN 56303-2720 | Good Samaritan Assisted Living LLC 1229 12th Ave N Saint Cloud MN 56303-2720 Ph: (320) 224-0027 |
| NPI Number | 1124972922 |
|---|---|
| Provider Enumeration Date | 02/26/2026 |
| Last Update Date | 02/26/2026 |
| Certification Date | 02/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124972922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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