NPI | 1659352474 |
---|---|
Doing Business As | GOOD SAMARITAN SOCIETY - MESA GOOD SHEPHERD |
Entity Type | Organization |
Authorized Contact | RAYE NAE NYLANDER CFO 605-362-3100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2005-11-09 |
Last Update Date | 2012-12-27 |