Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - Bonell
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
GRANT TRIBBLE (CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
708 22ND ST, GREELEY, CO 80631-7041
(970) 352-6082
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04139531
—
CO
Enumeration date
04/07/2017
Last updated
04/07/2017
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