The Evangelical Lutheran Good Samaritan Society

NPI #1659361061 in Robbinsdale, Minnesota

Provider Information

NPI Number
1659361061
Entity Type
Organization
Organization Name
The Evangelical Lutheran Good Samaritan Society
Subpart
Yes (part of a larger organization)
Parent Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 26, 2005
Last Updated
Nov 26, 2021

Practice Location

Address
3815 W BROADWAY
ZIP Code
55422-2207
Phone
(612) 332-4262

Authorized Official

Name
MS. ERIC VANDENHULL
Title
CFO
Phone
(605) 362-3100

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Nursing Facility SuppliesNursing Facility Supplies
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral NutritionParenteral & Enteral Nutrition
Skilled Nursing Facility

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