Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Assisted Living Facility · Deland, FL

NPI number 1659595841 Active

Practice location

436 N Mcdonald Ave
Deland, FL 32724-3634

Call (386) 738-0212 Map

Fax (386) 738-5197

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.

Another provider at this address

Deland FL Alf Opco LLCAssisted Living Facility Deland, FL NPI 1760163547

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NPI record

NPI: 1659595841
Entity type: Organization (Type 2)
Issued: Apr 12, 2007
Last updated: Mar 21, 2022
Status: Active

Other names

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Florida Lutheran Retirement Center · doing business as
Florida Lutheran Retirement Center · doing business as

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659595841

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1659595841, issued on Apr 12, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Deland, FL. The record was last updated on Mar 21, 2022.