The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society is a Skilled Nursing Facility in Prophetstown, Illinois. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
310 Mosher DrProphetstown, IL 61277-1001
Phone: (815) 537-5175
Fax: (815) 537-2628
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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 | 1720078348 |
|---|---|
| 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 - Prophets Riverview |
| NPI enumerated | October 25, 2005 |
| Last updated in NPPES | December 27, 2012 |
| Mailing address | Po Box 5038, Sioux Falls, SD 57117-5038 |
Other providers in Prophetstown
-
Allure of Prophetstown, LLC
310 Mosher Dr, Prophetstown, IL 61277-1001 · (815) 537-5175
-
Winning Wheels, Inc
701 E 3rd St, Prophetstown, IL 61277-1334 · (815) 537-5168