Organization Name: | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
NPI Number: | 1174968119 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYE NAE NYLANDER (EXECUTIVE VP) |
Mailing Address: | 220 E 8th St Hays |
State: | KS US |
Postal Code: | 67601 |
Phone Number: | 6053623100 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2013 |
NPI Last Update Date: | 05/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |