Organization Name: | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
NPI Number: | 1184614588 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYE NAE NYLANDER (CFO) |
Mailing Address: | 200 S Dekalb St Redwood Falls |
State: | MN US |
Postal Code: | 562831913 |
Phone Number: | 5076375711 |
Fax Number: | 5076372132 |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 12/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |