NPI 1740698901

The Evangelical Lutheran Good Samaritan Society

Organisation Assisted Living Facility Lyons, KS

Practice location

Address: 1411 S Douglas Ave, Lyons, KS 67554-3706
Phone: (620) 257-2447
Fax: (620) 257-2618
Mailing address: 4800 W 57th St, Sioux Falls, SD 57108-2239

Authorised official

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

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1740698901
Entity type: Organization
NPI issued: 31 Jul 2014
Record last updated: 31 Jul 2014

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.