NPI 1114305380

The Evangelical Lutheran Good Samaritan Society

Organisation Custodial Care Facility Larimore, ND

Practice location

Address: 501 E Front St, Larimore, ND 58251-4010
Phone: (701) 213-2316
Mailing address: 4800 W 57th St, Sioux Falls, SD 57108-2239

Authorised official

Name: Grant Tribble
Title: Ex Vice President - Finance
Phone: (605) 362-3100

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Other Custodial Care Facility providers in North Dakota →

Registry record

NPI: 1114305380
Entity type: Organization
NPI issued: 8 May 2015
Record last updated: 23 Jun 2015

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.