Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - Waukon
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
MRS. RAYE NAE NYLANDER (VICE PRESIDENT, CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
21 E MAIN ST, WAUKON, IA 52172-1748
(563) 568-3447
(563) 568-2459
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
(605) 362-3100
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0890137
—
IA
Enumeration date
05/18/2007
Last updated
10/09/2007
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