Organization · Type 2 NPI
The Evangelical Lutheran Good Samaritan Society
Assisted Living Facility · East Grand Forks, MN
NPI number
1831170174
Active · reactivated Dec 11, 2012
Practice location
2122 River Rd NW
East Grand Forks, MN 56721-1065
Fax (218) 773-4287
Mailing address
PO Box 5038
Sioux Falls, SD 57117-5038
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.
Other assisted living facility providers in East Grand Forks
About NPI 1831170174
The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1831170174, issued on Nov 11, 2005. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in East Grand Forks, MN. The record was last updated on Dec 13, 2012.