The Evangelical Lutheran Good Samaritan Society

NPI #1972727071 in Idaho Falls, Idaho

Provider Information

NPI Number
1972727071
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
Assisted Living Facility
Enumeration Date
Apr 12, 2007
Last Updated
Jun 18, 2008

Practice Location

Address
840 E ELVA ST
State
Idaho
ZIP Code
83401-2801
Phone
(208) 523-4795

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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