Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Assisted Living Facility · Grand Island, NE

NPI number 1558631010 Active

Practice location

4075 Timberline St
Grand Island, NE 68803-6553

Call (308) 385-3632 Map

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.

6 other providers at this address

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NPI record

NPI: 1558631010
Entity type: Organization (Type 2)
Issued: Dec 30, 2011
Last updated: Dec 30, 2011
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society - Grand Island · doing business as

Authorized official

Raye Nae Nylander
Executive VP
(605) 362-3100

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About NPI 1558631010

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1558631010, issued on Dec 30, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Grand Island, NE. The record was last updated on Dec 30, 2011.