The Evangelical Lutheran Good Samaritan Society

NPI #1235110016 in Siren, Wisconsin

Provider Information

NPI Number
1235110016
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
Nov 9, 2005
Last Updated
Nov 9, 2007

Practice Location

Address
23926 4TH AVE S
City
Siren
ZIP Code
54872-8334
Phone
(715) 349-2292

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Nursing Facility SuppliesNursing Facility Supplies
Skilled Nursing Facility

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