NPI | 1992535223 |
---|---|
Doing Business As | GOOD SAMARITAN SOCIETY - FORT COLLINS VILLAGE (HCBS) |
Entity Type | Organization |
Authorized Contact | JOEL FLUIT Chief Financial Officer 605-362-5416 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2024-08-02 |
Last Update Date | 2024-08-02 |