# THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Other names:** Good Samaritan Society - Grand Island
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558631010
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** RAYE NAE NYLANDER (EXECUTIVE VP)
- **Authorized official phone:** (605) 362-3100

## Contact information

- **Practice address:** 4075 TIMBERLINE ST, GRAND ISLAND, NE 68803-6553
- **Practice address phone:** (308) 385-3632
- **Mailing address:** 4800 W 57TH ST, SIOUX FALLS, SD 57108-2239

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2011
- **Last updated:** 12/30/2011