Organization
GOOD SAMARITAN SOCIETY SERVICES@HOME
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
KIM JOHANSEN (VP OPERATIONS- HCBS)
(605) 362-3320
Entity
Organization
Contact information
Practice address
2101 S GARFIELD AVE, LOVELAND, CO 80537-7377
(970) 669-3100
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
(605) 362-3100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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