St. Luke Lutheran Community-Minerva

NPI #1295009710 in Minerva, Ohio

Provider Information

NPI Number
1295009710
Entity Type
Organization
Organization Name
St. Luke Lutheran Community-Minerva
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 1, 2012
Last Updated
Mar 1, 2012

Practice Location

Address
4301 WOODALE AVE SE
State
Ohio
ZIP Code
44657-8923
Phone
(330) 499-8341

Authorized Official

Name
MR. RONALD E DERRY
Title
CFO
Phone
(330) 966-5619

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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