THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI 1649640236

NPI Information

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is an assisted living facility in Mountain Home, AR. The provider is 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. THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI is 1649640236. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Samaritan Society - Hillside Lodge Assisted Living.

The provider's business location address is:

200 GOOD SAMARITAN DR
MOUNTAIN HOME, AR
ZIP 72653-325
Phone: (870) 425-2494

The provider's authorized official is Grant Tribble .
The authorized official title is Executive Vp - Finance and has the following contact phone number (605) 362-3100.

The CLIA number assigned to this NPI record is 04D0675785 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2015 and was last updated on 9/25/2015.

Taxonomy Codes

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Other Identifiers

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