The Evangelical Lutheran Good Samaritan Society

NPI #1851381578 in Prescott, Arizona

Provider Information

NPI Number
1851381578
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
1030 SCOTT DR
State
Arizona
ZIP Code
86301-1793
Phone
(928) 778-2450

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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