Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Assisted Living Facility · Mesa, AZ

NPI number 1780961037 Active

Practice location

5845 E University Dr
Mesa, AZ 85205-7443

Call (480) 981-0098 Map

Fax (480) 396-3023

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.

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NPI record

NPI: 1780961037
Entity type: Organization (Type 2)
Issued: Nov 14, 2011
Last updated: Nov 14, 2011
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

<unavail>
The Gables · doing business as

Authorized official

Raye Nae Nylander
Ex Vice President - Finance
(605) 362-3100

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About NPI 1780961037

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1780961037, issued on Nov 14, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mesa, AZ. The record was last updated on Nov 14, 2011.