Luther Oaks INC

NPI #1639520034 in Bloomington, Illinois

Provider Information

NPI Number
1639520034
Entity Type
Organization
Organization Name
Luther Oaks INC
Subpart
Yes (part of a larger organization)
Parent Organization
LUTHERAN LIFE MINISTRIES
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 27, 2016
Last Updated
Jun 27, 2016

Practice Location

Address
601 LUTZ RD
ZIP Code
61704-8608
Phone
(309) 664-5940

Authorized Official

Name
ROGER PAULSBERG
Title
PRESIDENT/CEO
Phone
(847) 368-7300

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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