NPI 1558631010

The Evangelical Lutheran Good Samaritan Society

Organisation Assisted Living Facility Grand Island, NE

Practice location

Address: 4075 Timberline St, Grand Island, NE 68803-6553
Phone: (308) 385-3632
Mailing address: 4800 W 57th St, Sioux Falls, SD 57108-2239

Authorised official

Name: Raye Nae Nylander
Title: Executive Vp
Phone: (605) 362-3100

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1558631010
Entity type: Organization
NPI issued: 30 Dec 2011
Record last updated: 30 Dec 2011

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.