NPI 1033191416

The Evangelical Lutheran Good Samaritan Society

Organisation Home Health Agency Robbinsdale, MN

Practice location

Address: 4080 W Broadway Ave STE 132, Robbinsdale, MN 55422-5605
Phone: (763) 546-9020
Mailing address: PO Box 5038 4800 W 57th St, Sioux Falls, SD 57117-5038

Authorised official

Name: Eric Vandenhull
Title: Cfo
Phone: (605) 362-3100

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1033191416
Entity type: Organization
NPI issued: 18 Nov 2005
Record last updated: 4 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.