Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Other names
Good Samaritan Society-Prescott Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE GRANT TRIBBLE (EXEUTIVE VP)
(605) 362-3900
Entity
Organization
Contact information
Practice address
1065 RUTH ST, SUITE 108-109, PRESCOTT, AZ 86301
(928) 778-5655
(928) 445-2497
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
AZ
Other
Enumeration date
07/31/2007
Last updated
09/20/2021
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