Lake Region Lutheran Home, Inc.

NPI #1457910713 in Devils Lake, North Dakota

Provider Information

NPI Number
1457910713
Entity Type
Organization
Organization Name
Lake Region Lutheran Home, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 11, 2019
Last Updated
Jun 11, 2019

Practice Location

Address
302 7TH AVE NE
ZIP Code
58301-2516
Phone
(701) 662-6580

Authorized Official

Name
JON RIEWER
Title
PRESIDENT & CEO
Phone
(218) 291-2201

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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