The Evangelical Lutheran Good Samaritan Society

NPI #1215927611 in Stillwater, Minnesota

Provider Information

NPI Number
1215927611
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 26, 2005
Last Updated
Oct 25, 2021

Practice Location

Address
1119 OWENS ST N
ZIP Code
55082-4316
Phone
(651) 439-7180

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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