Faith Home Assisted Living Corporation

NPI #1225224413 in Osage, Iowa

Provider Information

NPI Number: 1225224413
Entity Type: Organization
Organization Name: Faith Home Assisted Living Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: FAITH LUTHERAN HOME CORPORATION
Primary Specialty: Assisted Living Facility
Enumeration Date: Sep 20, 2007
Last Updated: Sep 20, 2007

Practice Location

Address: 912 DAVIDSON DR
City: Osage
State: Iowa
ZIP Code: 50461-1474
Phone: (641) 832-2580

Authorized Official

Name: MRS. LADONNA MARIE GUNDERSON
Title: ADMINISTRATOR
Phone: (641) 732-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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