The Evangelical Lutheran Good Samaritan Society

NPI #1912115635 in Waukon, Iowa

Provider Information

NPI Number
1912115635
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
Nursing Facility/Intermediate Care Facility
Enumeration Date
May 18, 2007
Last Updated
Oct 9, 2007

Practice Location

Address
21 E MAIN ST
City
Waukon
State
Iowa
ZIP Code
52172-1748
Phone
(563) 568-3447

Authorized Official

Name
MRS. RAYE NAE NYLANDER
Title
VICE PRESIDENT, CFO
Phone
(605) 362-3100

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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