NPI 1659361061

The Evangelical Lutheran Good Samaritan Society

Organisation Skilled Nursing Facility Robbinsdale, MN

Practice location

Address: 3815 W Broadway, Robbinsdale, MN 55422-2207
Phone: (612) 332-4262
Fax: (612) 673-6270
Mailing address: PO Box 5038, Sioux Falls, SD 57117-5038

Authorised official

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

Registered specialties (3)

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Minnesota →

Nursing Facility Supplies (DME)

Suppliers Taxonomy 332BN1400X

Other Durable Medical Equipment & Medical Supplies providers in Minnesota →

Parenteral & Enteral Nutrition Supplies (DME)

Suppliers Taxonomy 332BP3500X

Registry record

NPI: 1659361061
Entity type: Organization
NPI issued: 26 Oct 2005
Record last updated: 26 Nov 2021

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.