NPI | 1376546762 |
---|---|
Doing Business As | LUTHER HOME |
Entity Type | Organization |
Authorized Contact | GARY GUSTAFSON Director Of Finance 715-732-0155 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2155) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2016-08-22 |