CMS Certification Number (CCN): 285187
Address: 1710 IDAHO STREET, SUPERIOR, NE, 68978
Telephone: 4028794791
Ownership Type: Non profit - Corporation
Number of Certified Beds: 69
Average Number of Residents per Day: 37.8
Provider Type: nan
Overall Rating: Yes
Most Recent Health Inspection: N
Legal Business Name: N
Date First Approved: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Affiliated Entity: 1996-05-01
CMS State Operations Manual: Link
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