The Evangelical Lutheran Good Samaritan Society
NPI #1528049301 in Sister Bay, Wisconsin
Provider Information
- NPI Number
- 1528049301
- 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 28, 2021
Practice Location
- Address
- 10560 APPLEWOOD DR
- City
- Sister Bay
- State
- Wisconsin
- ZIP Code
- 54234-9005
- Phone
- (920) 854-2317
Authorized Official
- Name
- MRS. RAYE NAE NYLANDER
- Title
- CFO
- Phone
- (605) 362-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies — Nursing Facility Supplies |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Skilled Nursing Facility |
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