# THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Other names:** Manzano Del Sol Good Samaritan Home Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447232897
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** MS. RAYE NAE NYLANDER (CFO)
- **Authorized official phone:** (605) 362-3100

## Contact information

- **Practice address:** 5201 ROMA AVE NE, ALBUQUERQUE, NM 87108-1334
- **Practice address phone:** (505) 256-6212
- **Practice address fax:** (505) 266-7025
- **Mailing address:** PO BOX 5038, SIOUX FALLS, SD 57117-5038
- **Mailing address phone:** (605) 362-3100
- **Mailing address fax:** (605) 362-3265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 12/21/2012