Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Assisted Living Facility · Brainerd, MN

NPI number 1013011253 Active

Practice location

2517 Greenwood St SW
Brainerd, MN 56401-8340

Call (218) 825-9090 Map

Fax (218) 825-9411

Mailing address

PO Box 5038, 4800 W 57th St
Sioux Falls, SD 57117-5038

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1013011253
Entity type: Organization (Type 2)
Issued: Sep 8, 2006
Last updated: Jan 15, 2014
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society - Elmwood Samaritan House · doing business as

Authorized official

Raye Nae Nylander
CFO
(605) 362-3100

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About NPI 1013011253

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1013011253, issued on Sep 8, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Brainerd, MN. The record was last updated on Jan 15, 2014.