| Organization Name: | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| NPI Number: | 1740293083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYE NAE NYLANDER (CFO) |
| Mailing Address: | 24090 Smiley Rd Ste 200 Nisswa |
| State: | MN US |
| Postal Code: | 564682946 |
| Phone Number: | 2189639842 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 07/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |