Lutheran Home - Hickory West

NPI #1124202759 in Hickory, North Carolina

Provider Information

NPI Number
1124202759
Entity Type
Organization
Organization Name
Lutheran Home - Hickory West
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 18, 2007
Last Updated
Feb 4, 2008

Practice Location

Address
1125 10TH STREET BLVD NW
ZIP Code
28601-3373
Phone
(828) 322-6995

Authorized Official

Name
MR. GUS FLASKA
Title
ADMINISTRATOR
Phone
(828) 322-6995

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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