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Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Prairie Villa
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
MRS. RAYE NAE NYLANDER (VICE PRESIDENT, CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
150 COUNTY ROAD 34, ARTHUR, ND 58006-4102
(701) 967-8316
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57117-5038
(605) 362-3100
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30733
—
ND
Enumeration date
10/31/2006
Last updated
02/12/2016
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