The Evangelical Lutheran Good Samaritan Society

NPI #1467436121 in Benson, Arizona

Provider Information

NPI Number
1467436121
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
Dec 5, 2005
Last Updated
Oct 25, 2021

Practice Location

Address
850 SOUTH HWY 80
City
Benson
State
Arizona
ZIP Code
85602-6988
Phone
(520) 586-2372

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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