NPI 1013998780
The Evangelical Lutheran Good Samaritan Society
Practice location
- Address
- 3500 Good Samaritan Way, Jeffersontown, KY 40299-6117
- Phone
- (502) 267-7403
- Fax
- (502) 267-8978
- Mailing address
- 4800 West 57th Street P.O. Box 5038, Sioux Falls, SD 57117-5038
Authorised official
- Name
- Raye Nae Nylander
- Title
- Cfo
- Phone
- (605) 362-3100
Registered specialties (3)
Skilled Nursing Facility
Primary
Nursing Facility Supplies (DME)
Parenteral & Enteral Nutrition Supplies (DME)
Registry record
- NPI
- 1013998780
- Entity type
- Organization
- NPI issued
- 9 Nov 2005
- Record last updated
- 27 Dec 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.