Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
GRANT TRIBBLE (EVP - FINANCE)
(605) 362-3100
Entity
Organization
Contact information
Practice address
4825 JERICHO WAY, RAPID CITY, SD 57702-9694
(605) 343-1919
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
(650) 362-3100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
11/28/2021
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