| NPI | 1790321255 |
|---|---|
| Doing Business As | LUTHERDALE |
| Entity Type | Organization |
| Authorized Contact | CASEY J ROHDE Business Administrator 262-742-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2050X Respite Care, Respite Care Camp |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |