OrganizationActive
The Evangelical Lutheran Good Samaritan Society
NPI 1962673608 · Custodial Care Facility · Fargo, ND
Provider details
- NPI number
- 1962673608
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Parent organization
- The Evangelical Lutheran Good Samaritan Society
- Authorized official
- Raye Nae Nylander, Vice President, Cfo
Practice location
4502 37th Ave S
Fargo, ND 58104-7599
Phone: (701) 282-2651
Fax: (701) 282-3027
Mailing address
4800 W 57th St
Sioux Falls, SD 57108-2239
Registry dates
- Enumerated
- 2008-03-21
- Last updated
- 2016-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.