St. Luke Lutheran Community - Portage Lakes

NPI #1629665146 in New Franklin, Ohio

Provider Information

NPI Number
1629665146
Entity Type
Organization
Organization Name
St. Luke Lutheran Community - Portage Lakes
Subpart
Yes (part of a larger organization)
Parent Organization
ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 30, 2020
Last Updated
Dec 30, 2020

Practice Location

Address
615 LATHAM LN
State
Ohio
ZIP Code
44319-4338
Phone
(330) 644-3914

Authorized Official

Name
JOYCE L MOHLER
Title
CFO
Phone
(330) 499-8341

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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