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Organization

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - Fairfield Glade
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
RAYE NAE NYLANDER (EXECUTIVE VICE PRESIDENT)
(605) 362-3100
Entity
Organization

Contact information

Practice address
100 SAMARITAN WAY, CROSSVILLE, TN 38558
(931) 456-1576
(931) 456-1575
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
03/25/2011
Last updated
11/28/2021
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