NPI | 1730259813 |
---|---|
Doing Business As | DAVENPORT LUTHERAN HOME |
Entity Type | Organization |
Authorized Contact | DIANE GLOEDE COO 319-472-4211 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 820211) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2016-07-13 |