Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Assisted Living Facility · Kissimmee, FL

NPI number 1790952166 Active

Practice location

1500 Southgate Dr
Kissimmee, FL 34746-6593

Call (407) 933-3747 Map

Fax (407) 518-2880

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.

4 other providers at this address

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NPI record

NPI: 1790952166
Entity type: Organization (Type 2)
Issued: May 14, 2008
Last updated: May 14, 2008
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

<unavail>
Good Samaritan Manor · doing business as

Authorized official

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

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About NPI 1790952166

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1790952166, issued on May 14, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Kissimmee, FL. The record was last updated on May 14, 2008.