| Organization Name: | GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MN, INC. |
| NPI Number: | 1396807962 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE GLANZER (ADMINISTRATOR CEO) |
| Mailing Address: | 1115 4th Ave N Sauk Rapids |
| State: | MN US |
| Postal Code: | 563792201 |
| Phone Number: | 3202526525 |
| Fax Number: | 3202593463 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311500000X |
| License Number: | 333736 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MN |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Alzheimer Center (Dementia Center) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |