The Evangelical Lutheran Good Samaritan Society

NPI #1265423990 in Mountain Lake, Minnesota

Provider Information

NPI Number
1265423990
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 2, 2005
Last Updated
Nov 28, 2021

Practice Location

Address
745 BASINGER MEMORIAL DR
ZIP Code
56159-1312
Phone
(507) 427-2464

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

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