Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN
Other names
LivingWell@Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN
Authorized official
MR. GRANT TRIBBLE (EVP/CEO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
(605) 362-3100
(605) 362-5520
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
(605) 362-3100
(605) 362-5520
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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