The Evangelical Lutheran Good Samaritan Society
NPI #1962484022 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1962484022
- 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 15, 2005
- Last Updated
- Oct 25, 2021
Practice Location
- Address
- 325 S SEGRAVE ST
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114-4220
- Phone
- (386) 253-6791
Authorized Official
- Name
- MR. ERIC VANDEN HULL
- Title
- VP, FINANCE
- 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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