Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Other names
Good Samaritan Society - Heritage Grove
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAYE NAE NYLANDER (CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
2122 RIVER RD NW, EAST GRAND FORKS, MN 56721-1065
(218) 773-7484
(218) 773-4287
Mailing address
PO BOX 5038, SIOUX FALLS, SD 57117-5038
(605) 362-3100
(605) 362-3265
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324819400
—
MN
Enumeration date
11/11/2005
Last updated
12/13/2012
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