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The Evangelical Lutheran Good Samaritan Society
Assisted Living Facility in Moscow, Idaho
NPI 1154545242

The Evangelical Lutheran Good Samaritan Society is an Assisted Living Facility based in Sioux Falls, ID. The Evangelical Lutheran Good Samaritan Society practices in Moscow, ID. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1154545242 and holds a License No. (Idaho).

The current practice location address for The Evangelical Lutheran Good Samaritan Society is 640 N Eisenhower St, Moscow, ID and can be reached out via phone at 208-882-6560 and via fax at 208-882-6569.

Location: 640 N Eisenhower St, Moscow, ID, 57108-2239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154545242
Provider Name
The Evangelical Lutheran Good Samaritan Society
Credential
Provider Entity Type
Organization
Address
640 N Eisenhower St, Moscow, ID, 57108-2239
Phone Number
208-882-6560
Fax Number
208-882-6569
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8063117 05 ID
institution
Provider Business Practice Location Address Details
Address
640 N Eisenhower St
City
Moscow
State
Idaho
Zip
83843-9588
Phone Number
208-882-6560
Fax Number
208-882-6569
person
Provider Business Mailing Address Details
Address
640 N Eisenhower St
City
Moscow
State
Idaho
Zip
83843-9588
Phone Number
208-882-6560
Fax Number
208-882-6569
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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