Organization Name: | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
NPI Number: | 1548241888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYE NAE NYLANDER (CFO) |
Mailing Address: | 608 Winona St Nw Preston |
State: | MN US |
Postal Code: | 559651086 |
Phone Number: | 5077653837 |
Fax Number: | 5077652737 |
NPI Enumeration Date: | 11/11/2005 |
NPI Last Update Date: | 11/07/2007 |
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: |