The Evangelical Lutheran Good Samaritan Society

NPI #1437131349 in Roseville, Minnesota

Provider Information

NPI Number
1437131349
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 16, 2005
Last Updated
Nov 7, 2007

Practice Location

Address
1415 COUNTY ROAD B W
ZIP Code
55113-4216
Phone
(651) 631-1616

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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