The Evangelical Lutheran Good Samaritan Society
NPI #1710082904 in Mandan, North Dakota
Provider Information
- NPI Number
- 1710082904
- 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
- Sep 13, 2006
- Last Updated
- Nov 28, 2021
Practice Location
- Address
- 3500 21ST ST SE
- City
- Mandan
- State
- North Dakota
- ZIP Code
- 58554-1341
- Phone
- (701) 663-4274
Authorized Official
- Name
- ERIC VANDEN HULL
- Title
- VICE PRESIDENT
- Phone
- (605) 362-5510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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