The Evangelical Lutheran Good Samaritan Society

NPI #1205826922 in Peoria, Arizona

Provider Information

NPI Number
1205826922
Entity Type
Organization
Organization Name
The Evangelical Lutheran Good Samaritan Society
Subpart
Yes (part of a larger organization)
Parent Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 25, 2005
Last Updated
Dec 27, 2012

Practice Location

Address
10323 W OLIVE AVE
City
Peoria
State
Arizona
ZIP Code
85345-7345
Phone
(623) 875-0100

Authorized Official

Name
MS. RAYE NAE NYLANDER
Title
CFO
Phone
(605) 362-3100

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Nursing Facility SuppliesNursing Facility Supplies
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral NutritionParenteral & Enteral Nutrition
Skilled Nursing Facility

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