Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - Park River
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
RAYE NAE NYLANDER (EXECUTIVE VP)
(605) 362-3100
Entity
Organization
Contact information
Practice address
301 COUNTY ROAD 12B, PARK RIVER, ND 58270-4134
(701) 284-7115
Mailing address
PO BOX 5038, SIOUX FALLS, SD 57117-5038
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30788
—
ND
Enumeration date
04/07/2014
Last updated
04/07/2014
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