Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Assisted Living Facility · Brainerd, MN

NPI number 1629176383 Active

Practice location

2509 Greenwood St SW
Brainerd, MN 56401-8340

Call (218) 829-5405 Map

Fax (218) 829-5485

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: 1629176383
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Jan 14, 2014
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

<unavail>
Good Samaritan Society - Birchwood Samaritan House · doing business as

Authorized official

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

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About NPI 1629176383

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1629176383, issued on Sep 20, 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 14, 2014.