Immanuel Lutheran Corporation

NPI #1649279183 in Kalispell, Montana

Provider Information

NPI Number
1649279183
Entity Type
Organization
Organization Name
Immanuel Lutheran Corporation
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 18, 2005
Last Updated
Dec 20, 2010

Practice Location

Address
185 CRESTLINE AVE
State
Montana
ZIP Code
59901-3573
Phone
(406) 752-9622

Authorized Official

Name
MR. KEITH GENDREAU, LNHA CEO,CALA, FELLO
Title
ADMINSTRATOR.CEO
Phone
(406) 752-9622

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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