Organization · Type 2 NPI
The Evangelical Lutheran Good Samaritan Society
Assisted Living Facility · Boise, ID
NPI number
1306069281
Active
Practice location
3390 Collister Dr
Boise, ID 83703-3303
Fax (208) 342-0483
Mailing address
4800 W 57th St
Sioux Falls, SD 57108-2239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1306069281
The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1306069281, issued on Apr 10, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.