Whalio Doctors

NPI 1588645600

The Evangelical Lutheran Good Samaritan Society

Organisation Assisted Living Facility Prescott, AZ

Practice location

Address
3191 Aster Dr, Prescott, AZ 86305-3743
Phone
(928) 443-9999
Fax
(928) 778-5251
Mailing address
PO Box 5038, Sioux Falls, SD 57117-5038

Authorised official

Name
Raye Nae Nylander
Title
Cfo
Phone
(605) 362-3100

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X

Registry record

NPI
1588645600
Entity type
Organization
NPI issued
7 Nov 2005
Record last updated
2 Sep 2025

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.