NPI 1083735963
The Evangelical Lutheran Good Samaritan Society
Practice location
- Address
- 802 N Rolff St, Davenport, IA 52804-4340
- Phone
- (563) 323-1225
- Fax
- (563) 323-1278
- Mailing address
- 4800 W 57th St, Sioux Falls, SD 57108-2239
Authorised official
- Name
- Raye Nae Nylander
- Title
- Vice President, Cfo
- Phone
- (605) 362-3100
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1083735963
- Entity type
- Organization
- NPI issued
- 2 Apr 2007
- Record last updated
- 20 Sep 2021
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.