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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
Augusta Place - a Prospera Community
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
ERIC VANDEN HULL (VICE PRESIDENT, FINANCE)
(605) 362-5510
Entity
Organization
Contact information
Practice address
316 VERSAILLES AVE, BISMARCK, ND 58503-0390
(701) 255-1084
Mailing address
301 LORRAIN DR, BISMARCK, ND 58503-0311
(701) 255-1084
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
03/25/2021
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