# KEARNEY GOOD SAMARITAN HOUSING, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Luke's Countryside Villa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144516196
- **Authorized official:** RAYE NAE NYLANDER (CFO)
- **Authorized official phone:** (605) 362-3100

## Contact information

- **Practice address:** 2300 E 32ND ST, KEARNEY, NE 68847-1900
- **Practice address phone:** (308) 236-9395
- **Mailing address:** 2300 E 32ND ST, KEARNEY, NE 68847-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2011
- **Last updated:** 06/30/2011