| NPI | 1184008047 |
|---|---|
| Doing Business As | GOOD SAMARITAN SOCIETY - LUTHER MANOR |
| Entity Type | Organization |
| Authorized Contact | GRANT TRIBBLE Executive VP 605-362-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |