| NPI | 1699757005 |
|---|---|
| Doing Business As | GOOD SAMARITAN SOCIETY - MANOR ON MAIN |
| Entity Type | Organization |
| Authorized Contact | RAYE NAE NYLANDER CFO 605-362-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2005-11-19 |
| Last Update Date | 2007-10-12 |