NPI | 1508850512 |
---|---|
Doing Business As | LUTHER MANOR RETIREMENT HOME |
Entity Type | Organization |
Authorized Contact | KIM HARKEY Administrator 563-690-6628 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA NF-452) |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
311500000X Alzheimer Center (Dementia Center) (Licence: IA NF-452) | |
314000000X Skilled Nursing Facility (Licence: IA NF-452) | |
Enumeration Date | 2005-09-06 |
Last Update Date | 2022-03-04 |