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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 - Miller
Organization subpart
Yes

Provider details

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

Contact information

Practice address
421 E 4TH ST, MILLER, SD 57362-1539
(605) 853-2701
(605) 853-3370
Mailing address
4800 WEST 57TH STREET P.O. BOX 5038, SIOUX FALLS, SD 57117-5038
(605) 362-3100
(605) 362-3265

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
314000000X
Skilled Nursing Facility
Primary
332BN1400X
Nursing Facility Supplies (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0150350
SD
Enumeration date
11/09/2005
Last updated
11/28/2021
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