Organization · Type 2 NPI
The Evangelical Lutheran Good Samaritan Society
Assisted Living Facility · Clear Lake, SD
NPI number
1639219264
Active
Practice location
913 Colonel Pete St S
Clear Lake, SD 57226-2124
Fax (605) 874-8449
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.
About NPI 1639219264
The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1639219264, issued on Feb 6, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clear Lake, SD. The record was last updated on Aug 22, 2020.