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The Evangelical Lutheran Good Samaritan Society
Parenteral & Enteral Nutrition Supplies (DME) in Daytona Beach, Florida
NPI 1962484022

The Evangelical Lutheran Good Samaritan Society is a Parenteral & Enteral Nutrition Supplies (DME) based in Sioux Falls, FL and is specialized in Parenteral & Enteral Nutrition. The Evangelical Lutheran Good Samaritan Society practices in Daytona Beach, FL. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1962484022 and holds a License No. (Florida).

The current practice location address for The Evangelical Lutheran Good Samaritan Society is 325 S Segrave St, Daytona Beach, FL and can be reached out via phone at 386-253-6791 and via fax at 386-258-3842.

Location: 325 S Segrave St, Daytona Beach, FL, 57117-5038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962484022
Provider Name
The Evangelical Lutheran Good Samaritan Society
Credential
Provider Entity Type
Organization
Address
325 S Segrave St, Daytona Beach, FL, 57117-5038
Phone Number
386-253-6791
Fax Number
386-258-3842
Provider Enumeration Date
11/15/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
141221300 01 FL MEDICAID ALF OSS
7100409 01 FL EVERCARE
675714601 05 FL
020439100 05 FL
K2S 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
325 S Segrave St
City
Daytona Beach
State
Florida
Zip
32114-4220
Phone Number
386-253-6791
Fax Number
386-258-3842
person
Provider Business Mailing Address Details
Address
325 S Segrave St
City
Daytona Beach
State
Florida
Zip
32114-4220
Phone Number
386-253-6791
Fax Number
386-258-3842
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
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