Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Assisted Living Facility · Moscow, ID

NPI number 1154545242 Active

Practice location

640 N Eisenhower St
Moscow, ID 83843-9588

Call (208) 882-6560 Map

Fax (208) 882-6569

Mailing address

4800 W 57th St
Sioux Falls, SD 57108-2239

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.

11 other providers at this address

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NPI record

NPI: 1154545242
Entity type: Organization (Type 2)
Issued: Apr 12, 2007
Last updated: Jun 9, 2022
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society Moscow Village · doing business as

Authorized official

Mrs. Raye Nae Nylander
Vice President, CFO
(605) 362-3100

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About NPI 1154545242

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1154545242, issued on Apr 12, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Moscow, ID. The record was last updated on Jun 9, 2022.