The Evangelical Lutheran Good Samaritan Society

NPI #1598755266 in Moscow, Idaho

Provider Information

NPI Number
1598755266
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
Oct 25, 2005
Last Updated
Oct 25, 2021

Practice Location

Address
640 N EISENHOWER ST
City
Moscow
State
Idaho
ZIP Code
83843-9588
Phone
(208) 882-6560

Authorized Official

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

Specialties & Taxonomy Codes

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

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