| NPI | 1538200159 |
|---|---|
| Doing Business As | WAGNER GOOD SAMARITAN CENTER |
| Entity Type | Organization |
| Authorized Contact | RAYE NAE NYLANDER Vice President , CFO 605-362-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |