Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Other names
Willow Wind
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAYE NAE NYLANDER (CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
3191 ASTER DR, PRESCOTT, AZ 86305-3743
(928) 443-9999
(928) 778-5251
Mailing address
PO BOX 5038, SIOUX FALLS, SD 57117-5038
(605) 362-3100
(605) 362-3265
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487125
—
AZ
Enumeration date
11/07/2005
Last updated
09/02/2025
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