The Evangelical Lutheran Good Samaritan Society
NPI #1811987381 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1811987381
- Entity Type
- Organization
- Organization Name
- The Evangelical Lutheran Good Samaritan Society
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 26, 2005
- Last Updated
- Jul 19, 2007
Practice Location
- Address
- 3815 W BROADWAY AVE
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422-2207
- Phone
- (763) 588-4635
Authorized Official
- Name
- MRS. RAYE NAE NYLANDER
- Title
- VICE PRESIDENT CFO
- Phone
- (605) 362-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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