American Lutheran Church-Northland Luthern Services for the Elderly, I

NPI #1376546762 in Marinette, Wisconsin

Provider Information

NPI Number
1376546762
Entity Type
Organization
Organization Name
American Lutheran Church-Northland Luthern Services for the Elderly, I
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 31, 2005
Last Updated
Aug 22, 2016

Practice Location

Address
831 PINE BEACH RD
ZIP Code
54143-4225
Phone
(715) 732-0155

Authorized Official

Name
MR. GARY GUSTAFSON
Title
DIRECTOR OF FINANCE
Phone
(715) 732-0155

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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