Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
MS. ERIC VANDENHULL (CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
4080 W BROADWAY AVE STE 132, ROBBINSDALE, MN 55422-5605
(763) 546-9020
Mailing address
PO BOX 5038, 4800 W 57TH ST, SIOUX FALLS, SD 57117-5038
(605) 362-3100
(605) 362-3265
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201962100
—
MN
Enumeration date
11/18/2005
Last updated
10/04/2022
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