OrganizationActive
Good Samaritan Retirement Home
NPI 1821344540 · Assisted Living Facility · Williston, FL
Provider details
- NPI number
- 1821344540
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lorna Viceda, Owner / Administrator(904) 521-7482
- License
- 25 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
507 Se 1st Ave
Williston, FL 32696-2703
Phone: (904) 521-7482
Approximate (ZIP-level) locationGet directions
Mailing address
507 Se 1st Ave
Williston, FL 32696-2703
Other names (DBA / former)
- Doing business as
- Viceda, LLC
Registry dates
- Enumerated
- 2012-07-31
- Last updated
- 2012-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.