NPI:
1932570165
Provider Name:
PRY INC
Doing Business As: GOOD SAMARITAN RETIREMENT HOME
Classification:
Assisted Living Facility - 3104A0625X
Entity Type:
Organization
Specialization: Assisted Living, Mental Illness
Address:
507 SE 1ST AVE
WILLISTON, FL
ZIP 32696
Phone:
(352) 528-2722
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PRY INC is an assisted living and mental illness assisted living facility in Williston, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. PRY INC NPI is 1932570165. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Samaritan Retirement Home.
The provider's business location address is:
507 SE 1ST AVE
WILLISTON, FL
ZIP 32696-703
Phone: (352) 528-2722
Fax: (407) 528-3003
The provider's authorized official is Helen Romero .
The authorized official title is Administrator and has the following contact phone number (407) 435-5548.
The enumeration date for this NPI number is 10/14/2015 and was last updated on 10/14/2015.