The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society is a Skilled Nursing Facility in Sister Bay, Wisconsin. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
10560 Applewood DrSister Bay, WI 54234-9005
Phone: (920) 854-2317
Fax: (920) 854-9529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|---|
| Nursing Facility Supplies (DME) | Taxonomy 332BN1400X |
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X |
Record details
| NPI number | 1528049301 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | The Evangelical Lutheran Good Samaritan Society |
| Authorized official | Raye Nae Nylander — Cfo · (605) 362-3100 |
| Other names | Good Samaritan Society - Scandia Village; Good Samaritan Society - Scandia Village |
| NPI enumerated | November 9, 2005 |
| Last updated in NPPES | November 28, 2021 |
| Certification date | November 28, 2021 |
| Mailing address | Po Box 5038, Sioux Falls, SD 57117-5038 |
Other providers in Sister Bay
-
Sister Bay SNF Opco LLC
10560 Applewood Rd, Sister Bay, WI 54234-9005 · (718) 570-6018