The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society is a Skilled Nursing Facility in Fennimore, Wisconsin. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
1850 11th StFennimore, WI 53809-1612
Phone: (608) 822-6100
Fax: (608) 822-3011
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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 | 1619958493 |
|---|---|
| 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 - Fennimore |
| NPI enumerated | November 9, 2005 |
| Last updated in NPPES | January 17, 2013 |
| Mailing address | Po Box 5038, Sioux Falls, SD 57117-5038 |
Other providers in Fennimore
-
Divine Rehabilitation and Nursing at Fennimore LLC
1850 11th St, Fennimore, WI 53809-1612 · (608) 822-6100
-
Fennimore SNF Operations, LLC
1850 11th St, Fennimore, WI 53809-1612 · (773) 825-3336