Lake Region Lutheran Home, Inc.
NPI #1689667834 in Devils Lake, North Dakota
Provider Information
- NPI Number
- 1689667834
- Entity Type
- Organization
- Organization Name
- Lake Region Lutheran Home, Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Aug 23, 2005
- Last Updated
- Jul 10, 2014
Practice Location
- Address
- 620 14TH AVE NE
- City
- Devils Lake
- State
- North Dakota
- ZIP Code
- 58301-2808
- Phone
- (701) 662-4905
Authorized Official
- Name
- MRS. KARISSA OLSON, LNHA
- Title
- CEO
- Phone
- (701) 662-4905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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