Provider Demographics
NPI:1275817223
Name:THE SAMARITAN INN, INC
Entity Type:Organization
Organization Name:THE SAMARITAN INN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:N
Authorized Official - Last Name:MALATICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-632-1290
Mailing Address - Street 1:1725 NTH MCDONALD STREET
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8229
Mailing Address - Country:US
Mailing Address - Phone:972-632-1290
Mailing Address - Fax:972-632-1297
Practice Address - Street 1:1725 NTH MCDONALD STREET
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8229
Practice Address - Country:US
Practice Address - Phone:972-632-1290
Practice Address - Fax:972-632-1297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health