| 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 |