Organization
SOURIS VALLEY CARE CENTER, INC.
Active
Parent organization
EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Souris Valley Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
MS. RAYE NAE B NYLANDER LNHA (CFO, EXECUTIVE VICE PRESIDENT)
(605) 362-3100
Entity
Organization
Contact information
Practice address
300 MAIN ST S, VELVA, ND 58790-7342
(701) 338-2072
(701) 338-2031
Mailing address
300 MAIN ST S, VELVA, ND 58790-7342
(701) 338-2072
(701) 338-2031
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
025
ND
314000000X
Skilled Nursing Facility
Primary
1091A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030216
—
ND
01
—
8144
BCBS MD- CI
ND
Enumeration date
12/14/2005
Last updated
04/18/2011
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