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Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
RAYE NAE NYLANDER (VICE PRESIDENT, CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
1500 SOUTHGATE DR, KISSIMMEE, FL 34746-6593
(407) 933-3747
(407) 518-2880
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686927100
—
FL
Enumeration date
05/14/2008
Last updated
05/14/2008
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