# GOOD SAMARITAN SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417322728
- **Authorized official:** MRS. MORGAN NICOLE BODE COTA (OCCUPATIONAL THERAPY ASSISTANT)
- **Authorized official phone:** (712) 330-2732

## Contact information

- **Practice address:** 721 S KIEL ST, HOLSTEIN, IA 51025-5041
- **Practice address phone:** (712) 330-2732
- **Mailing address:** 721 S KIEL ST, HOLSTEIN, IA 51025-5041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 000999 | IA | Yes |

## Other

- **Enumeration date:** 12/11/2015
- **Last updated:** 12/11/2015