| NPI | 1053392548 |
|---|---|
| Doing Business As | GOOD SAMARITAN SOCIETY - BOISE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | RAYE NAE NYLANDER CFO 605-362-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-10-25 |